Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Devon Marshal Simmons

Individual provider Physical Therapy Assistant · NPI 1699581892

Devon Marshal Simmons is a Physical Therapy Assistant in Indian Trail, North Carolina. Licensed in North Carolina. Registered with an NPI since 2024.

Licensed in
NC
In the registry since
2024
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Practice location Address checks out

1001 Van Buren Ave
Indian Trail, NC 28079-5541
Phone: (704) 628-6053
Fax: (704) 628-6702
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence A6999 (NC)

Record details

NPI number1699581892
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 4, 2024
Last updated in NPPESDecember 4, 2024
Certification dateDecember 4, 2024
Mailing address2020 Aspen Way Ct, Gastonia, NC 28054-0028

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