DR. KERRY SIMMONDS (DPT) – Physical Medicine & Rehabilitation Physician, NPI 1174205207

DR. KERRY SIMMONDS (DPT) is a healthcare provider. based in San diego, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 304532 (CA). The NPI Number for DR. KERRY SIMMONDS (DPT) is 1174205207

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
DR. KERRY SIMMONDS (DPT)
NPI
1174205207
Phone
Not provided
Address
4130 HAINES ST APT 9A
Enumeration Date
7 August 2023
Last Update Date
7 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6192293909
Graduation Year
2023 (3 years ago)
PAC ID
4284079963
Group Practice PAC ID
7113812496
Professional Enrollment ID
I20240304003737
Address ID
CA921205238SA6699XRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

9,449 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

Provider Addresses for DR. KERRY SIMMONDS (DPT)

  • 4130 HAINES ST APT 9A

    SAN DIEGO, CA 921095395

    Phone:

    Type: Mailing

  • 530 LOMAS SANTA FE DR STE G

    SOLANA BEACH, CA 920751346

    Phone: (858) 755-6024

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-03-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240304003737IPhysical Therapist In Private PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92109)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7113812496View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeCA
Family PracticeCA
Emergency MedicineCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Sports Medicine, Family PracticeWA
Family Practice, Sports MedicineCA
Physical Therapist In Private PracticeCA
Family PracticeCA

Reviews

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Frequently asked questions

Is there an official ID for DR. KERRY SIMMONDS (DPT) in U.S. healthcare records?
The official identifier for DR. KERRY SIMMONDS (DPT) is NPI 1174205207.
Is DR. KERRY SIMMONDS (DPT) shown as active in public data?
Registry records indicate DR. KERRY SIMMONDS (DPT) maintains an active NPI.
What clinical focus is listed for DR. KERRY SIMMONDS (DPT)?
At a glance, DR. KERRY SIMMONDS (DPT) is tied to Physical Medicine & Rehabilitation Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. KERRY SIMMONDS (DPT)?
Travel planning: use San Diego, California as the reference point for DR. KERRY SIMMONDS (DPT), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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