Jessica Simon Jimenez, PT, DPT
Physical Therapist in Crowley, LA. Individual provider (NPI-1).
NPI number1477880656
StatusActive
Last updated in NPPESApr 7, 2020
Details
- NPI
- 1477880656
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jessica Simon Jimenez
- Credential
- PT, DPT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 10, 2009
- Certification date
- Apr 7, 2020
- Last updated
- Apr 7, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 07745 | LA | Yes |
Practice location
753 Odd Fellows Rd Unit H-1Crowley, LA 70526-2200
Phone 337-788-1480 · Fax 337-788-0354
Mailing address
109 Thomas Oak DrChurch Point, LA 70525-5916
Other practice locations
6100 Cameron St
Scott, LA 70583-5144
Scott, LA 70583-5144
Phone 337-523-2279
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 10 Physical Therapist providers in Crowley · All 516 providers in Crowley
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