Provider Demographics
NPI:1548264567
Name:SIMS, DANICA K (PT)
Entity type:Individual
Prefix:MRS
First Name:DANICA
Middle Name:K
Last Name:SIMS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2301 RED BUD LN STE 300
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78664-9741
Mailing Address - Country:US
Mailing Address - Phone:512-248-1200
Mailing Address - Fax:512-248-1203
Practice Address - Street 1:2301 RED BUD LN STE 300
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664-9741
Practice Address - Country:US
Practice Address - Phone:512-248-1200
Practice Address - Fax:512-248-1203
Is Sole Proprietor?:No
Enumeration Date:2005-06-08
Last Update Date:2007-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1075349225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8F5046Medicare PIN