Provider Demographics
NPI:1679295869
Name:SIMONS, TY JOSEPH (DPT)
Entity type:Individual
Prefix:
First Name:TY
Middle Name:JOSEPH
Last Name:SIMONS
Suffix:
Gender:
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4081 W 16TH AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80204-2065
Mailing Address - Country:US
Mailing Address - Phone:620-323-0069
Mailing Address - Fax:
Practice Address - Street 1:4081 W 16TH AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80204-2065
Practice Address - Country:US
Practice Address - Phone:620-323-0069
Practice Address - Fax:720-615-0965
Is Sole Proprietor?:No
Enumeration Date:2022-09-14
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTL.0018710225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist