Provider Demographics
NPI:1679643936
Name:SIMMONS, THOMAS CURTIS (RPT)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:CURTIS
Last Name:SIMMONS
Suffix:
Gender:M
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:285 N EL CAMINO REAL
Mailing Address - Street 2:STE 202
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-5383
Mailing Address - Country:US
Mailing Address - Phone:760-633-1345
Mailing Address - Fax:760-633-1419
Practice Address - Street 1:201 S EL CAMINO REAL STE A
Practice Address - Street 2:
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-4150
Practice Address - Country:US
Practice Address - Phone:760-274-1671
Practice Address - Fax:760-274-1678
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2019-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT11587225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPT11587OtherRPT LICENSE
CA1578547410OtherNPI FOR CORPORATION
CAPT11587OtherRPT LICENSE