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

Mitchel J.d. Simmons, PTA

Individual provider Physical Therapy Assistant · NPI 1063220762

Mitchel J.d. Simmons, PTA is a Physical Therapy Assistant in Tyler, Texas. Licensed in Texas. Registered with an NPI since 2024.

Licensed in
TX
In the registry since
2024
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

2055 W Grande Blvd
Tyler, TX 75703-0526
Phone: (903) 534-0449
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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 2185065 (TX)

Record details

NPI number1063220762
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedDecember 26, 2024
Last updated in NPPESDecember 26, 2024
Certification dateDecember 26, 2024

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