Provider Demographics
NPI:1144278524
Name:SIMS, ABBY (PHYSICAL THERAPIST)
Entity type:Individual
Prefix:
First Name:ABBY
Middle Name:
Last Name:SIMS
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:575 LEXINGTON AVE
Mailing Address - Street 2:2NS FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-6102
Mailing Address - Country:US
Mailing Address - Phone:212-371-7869
Mailing Address - Fax:212-755-2030
Practice Address - Street 1:575 LEXINGTON AVE
Practice Address - Street 2:2NS FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-6102
Practice Address - Country:US
Practice Address - Phone:212-371-7869
Practice Address - Fax:212-755-2030
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2008-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY6997225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist