Individual ProviderJeremy K SimmonsPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address505 N Euclid St, Suite 680, Anaheim, CA 92801-5506(714) 780-0010(949) 644-1322PECOS EnrollmentBased on the most recent information from CMS, provider Jeremy K Simmons does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1013210020Provider TypeIndividualFull NameSimmons, Jeremy KCredentialMPTGenderMaleSole ProprietorNoEnumeration Date12/13/2010Last Updated4/27/2015Contact InformationPractice LocationPractice Address505 N Euclid St, Suite 680, Anaheim, CA 92801-5506Phone(714) 780-0010Fax(714) 780-0050Mailing LocationMailing Address200 Newport Center Dr, #213, Newport Beach, CA 92660-7501Phone(949) 644-1322Fax(949) 644-0316Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicensePT25814CaliforniaProvider IdentifiersIDDescriptionIssuerIDEU255ZDescriptionOtherIssuerMEDICARE PTANCalifornia