Provider Demographics
NPI:1265481469
Name:SIMS, ANNETTE (DPT)
Entity Type:Individual
Prefix:
First Name:ANNETTE
Middle Name:
Last Name:SIMS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:ANNETTE
Other - Middle Name:
Other - Last Name:ROGATO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:201 OFFICE PARK DR
Mailing Address - Street 2:STE 150
Mailing Address - City:MOUNTAIN BRK
Mailing Address - State:AL
Mailing Address - Zip Code:35223-2400
Mailing Address - Country:US
Mailing Address - Phone:205-397-4949
Mailing Address - Fax:205-397-4971
Practice Address - Street 1:832 PRINCETON AVE. S.W
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35211
Practice Address - Country:US
Practice Address - Phone:205-397-4949
Practice Address - Fax:205-397-4971
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-08
Last Update Date:2019-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH4676225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51548196OtherBC BS
AL51533286OtherBC BS
AL51533287OtherBC BS
AL51532492OtherBC BS
AL51533289OtherBC BS
AL51533296OtherBC BS
AL51533059OtherBC BS
AL51533297OtherBC BS
AL51548196OtherBC BS
AL51533286OtherBC BS