Simmons, Gerald Matthew
Simmons, Gerald Matthew is an individual health care provider with primary practice located at 7615 Indian School Rd N.E. , Albuquerque NM 87110. He recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Simmons, Gerald Matthew can be contacted via phone (505) 888-7979.Contact Information
Primary practice address
7615 Indian School Rd N.E.
Albuquerque NM 87110
Phone: (505) 888-7979
Fax: (505) 888-8859
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 421 | New Mexico |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports | 2251S0007X | 421 | New Mexico |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | 421 | New Mexico |
Profile Details
| NPI number | 1528154028 |
|---|---|
| LBN Legal business name | Simmons, Gerald Matthew |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Jul 9th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528154028 | NPPES |
| New Mexico | MEDICAID | 000N5533 |
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