Provider Demographics
NPI:1578680732
Name:SIMPSON, JAMES L (PT)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:L
Last Name:SIMPSON
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3276 MUNDELEIN PL
Mailing Address - Street 2:
Mailing Address - City:THE VILLAGES
Mailing Address - State:FL
Mailing Address - Zip Code:32162-7118
Mailing Address - Country:US
Mailing Address - Phone:352-753-3171
Mailing Address - Fax:
Practice Address - Street 1:5925 SE ABSHIER BLVD
Practice Address - Street 2:
Practice Address - City:BELLEVIEW
Practice Address - State:FL
Practice Address - Zip Code:34420-4025
Practice Address - Country:US
Practice Address - Phone:352-307-1200
Practice Address - Fax:352-307-7812
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2017-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT26111225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist