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

Roosevelt Dominic Simmons, DPT

Individual provider Physical Therapist · NPI 1063249456

Roosevelt Dominic Simmons, DPT is a Physical Therapist in Seattle, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2024
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

4400 Stone Way N
Seattle, WA 98103-7485
Phone: (206) 536-3049
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT61572474 (WA)

Record details

NPI number1063249456
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedSeptember 18, 2024
Last updated in NPPESSeptember 18, 2024
Certification dateSeptember 18, 2024

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