DR. DANIELLE SIMONS (DPT) – Physical Therapist, NPI 1205412442

DR. DANIELLE SIMONS (DPT) is a healthcare provider. based in Tustin, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. The NPI Number for DR. DANIELLE SIMONS (DPT) is 1205412442

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
DR. DANIELLE SIMONS (DPT)
NPI
1205412442
Phone
(657) 859-6458
Address
15000 KENSINGTON PARK DR STE 110
Enumeration Date
18 March 2021
Last Update Date
9 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9492765401
Graduation Year
2020 (6 years ago)
PAC ID
2769890821
Group Practice PAC ID
9133124282
Professional Enrollment ID
I20210409001765
Address ID
CA926772064LA30100DRXX405
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness75
Years active:5State licenses:0Digital endpointsOther names

9,449 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

Provider Addresses for DR. DANIELLE SIMONS (DPT)

  • 15000 KENSINGTON PARK DR STE 110

    TUSTIN, CA 927821831

    Phone: (657) 859-6458

    Type: Location

  • 2902 BALLESTEROS LN

    TUSTIN, CA 927821115

    Phone: (714) 423-7704

    Type: Mailing

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: 2021-04-09

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
I20210409001765IPhysical 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 92782)

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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: 9133124282View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeTN
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA

Reviews

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Frequently asked questions

What is DR. DANIELLE SIMONS (DPT)'s NPI number?
DR. DANIELLE SIMONS (DPT)'s NPI is 1205412442 — the number used across U.S. healthcare to identify this provider.
Is there an active status for DR. DANIELLE SIMONS (DPT)?
For scheduling context, DR. DANIELLE SIMONS (DPT) is shown as active in the registry.
What area of care is associated with DR. DANIELLE SIMONS (DPT)?
DR. DANIELLE SIMONS (DPT)'s record emphasizes Physical Therapist. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. DANIELLE SIMONS (DPT)?
Directory geography for DR. DANIELLE SIMONS (DPT) centers on Tustin, California.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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