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Organization
SIMS PHYSICAL THERAPY INC
Active
Organization
SIMS PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. QUENTIN DOUGLAS SIMS P.T. (CEO)
(805) 928-4465
Entity
Organization
Contact information
Practice address
2530 PROFESSIONAL PKWY, SANTA MARIA, CA 93455-1602
(805) 928-4465
Mailing address
2530 PROFESSIONAL PKWY, SANTA MARIA, CA 93455-1602
(805) 928-4465
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0161641
CIGNA PROVIDER #
CA
01
—
GCT000560
STATE MEDI-CAL OT GROUP #
CA
01
—
GPT001690
STATE MEDI-CAL PT GROUP #
CA
01
—
ZZZ52509Z
BLUE SHIELD PT GROUP #
CA
01
—
ZZZ65900Z
BLUE SHIELD OT GROUP #
CA
Enumeration date
07/26/2006
Last updated
01/29/2015
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