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

Simone June Stilley

Individual provider Physical Therapist · NPI 1710577952

Simone June Stilley is a Physical Therapist in Private Practice in Philadelphia, Pennsylvania. Qualified in 2020, 6 years ago. Practices with Prevail Practices PLLC, an 11-clinician group and accepts Medicare assignment.

Years since qualifying
6
In the registry since
2021

Practice location Address checks out

9475 Roosevelt Blvd # B4
Philadelphia, PA 19114-2212
Phone: (215) 464-6200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1710577952
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 21, 2021
Last updated in NPPESJanuary 21, 2021
Certification dateJanuary 21, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Prevail Practices Pllc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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