Provider Demographics
NPI:1538324637
Name:SIMKOS, SHARON SUE (PT)
Entity Type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:SUE
Last Name:SIMKOS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1491 ESSEX RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43221-3883
Mailing Address - Country:US
Mailing Address - Phone:614-486-8258
Mailing Address - Fax:
Practice Address - Street 1:1491 ESSEX RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43221-3883
Practice Address - Country:US
Practice Address - Phone:614-486-8258
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-28
Last Update Date:2008-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT-7085225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist