BENJAMIN SIMMONS PT, DPT
NPI 1215665153
Physical Therapist in Littleton, CO

Active since August 09, 2022Accepts Medicare Assignment
82.94/100
CMS Quality Rating
5005 S KIPLING PKWY STE A4, LITTLETON, CO 80127(303) 274-7331(720) 497-6726 Get Directions Write a Review

NPPES record last updated: November 14, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 14, 2023, Apr 12, 2023, Aug 9, 2022 (3 updates tracked since 2022).

About Benjamin Simmons Pt, Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BENJAMIN SIMMONS PT, DPT (NPI 1215665153) is an individual physical therapist in Littleton, Colorado, licensed in Colorado (19009) and active in the NPI registry since August 2022. He maintains 2 additional practice locations and is a graduate of Other (2022).

NPPES Registry Identity

NPI1215665153
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameBENJAMIN SIMMONSCredential: PT, DPT
Location Address5005 S KIPLING PKWY STE A4Littleton, CO 80127-1375
Mailing Address5005 S Kipling Pkwy Ste A4Littleton, CO 80127-1375 · (303) 274-7331 · Fax (720) 497-6726
Fax(720) 497-6726
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 9, 2022
Last NPPES UpdateNovember 14, 20233 updates tracked since enumeration
NPPES CertifiedNovember 14, 2023
✔ NPI 1215665153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Licenses✔ Licensed in CO · 19009✔ Licensed in AL · PTH10968✔ Licensed in TN · 15339
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
5005 S KIPLING PKWY STE A4, Littleton, CO 80127

Secondary Practice Locations 2

Location 1401 Peter Bryce BlvdTuscaloosa, AL 35487-0001 · Phone (205) 348-3904 · Fax (205) 803-6641
Location 21000 Church StNashville, TN 37203-3420 · Phone (615) 284-7055

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Benjamin Simmons Pt, Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971988916
PECOS Enrollment IDI20231208000318, I20260701001117

Medicare Billing Reassignments

7

Medicare enrollment records show Benjamin Simmons reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Therapy
354 COX CREEK PKWY STE 140
Florence, AL 35630
  • Reassigned Medicare billing, Alabama enrollment
  • 250 clinicians in this Medicare group
Physical Therapist
2001 MALLORY LN STE 201
Franklin, TN 37067
  • Reassigned Medicare billing, Kentucky and Tennessee enrollments
  • 106 clinicians in this Medicare group
Physical Therapist
105 WINDSOR PATH, SUITE 5
Georgetown, KY 40324
  • Reassigned Medicare billing, Kentucky enrollment
  • 132 clinicians in this Medicare group
Physical Therapist
8073 WASHINGTON VILLAGE DR, SUITE 110
Dayton, OH 45458
  • Reassigned Medicare billing, Ohio enrollment
  • 142 clinicians in this Medicare group
Physical Therapy
2177 NORTHPOINT BLVD STE 101
Hixson, TN 37343
  • Reassigned Medicare billing, Kentucky enrollment
  • 146 clinicians in this Medicare group
Physical Therapist
6397 LEE HWY STE 300
Chattanooga, TN 37421
  • Reassigned Medicare billing, Kentucky enrollment
  • 146 clinicians in this Medicare group
Physical Therapist
8823 PRODUCTION LN
Ooltewah, TN 37363
  • Reassigned Medicare billing, South Carolina enrollment
  • 363 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
372 services79 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
341 services67 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
323 services75 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
309 services64 patients
Therapy procedure in a group setting 97150
Group therapy involves meeting with a trained therapist alongside others facing similar challenges. It provides a supportive environment to share experiences, learn coping strategies, and gain insights from others. It's a safe space for personal growth and mutual support.
87 services35 patients
Evaluation for physical therapy, typically 20 minutes 97161
An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.
37 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80127 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.94/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.06
Promoting Interoperability90
Improvement Activities40
Cost66.41

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
5005 S KIPLING PKWY STE A4
LITTLETON, CO 80127
Physical Therapist
5005 S KIPLING PKWY STE A4
LITTLETON, CO 80127
Physical Therapist
5005 S KIPLING PKWY STE A4
LITTLETON, CO 80127
Physical Therapist
5005 S KIPLING PKWY STE A4
LITTLETON, CO 80127
Physical Therapist
5005 S KIPLING PKWY STE A4
LITTLETON, CO 80127
Physical Therapist
5005 S KIPLING PKWY STE A4
LITTLETON, CO 80127
Physical Therapist
5005 S KIPLING PKWY STE A4
LITTLETON, CO 80127
Clinic/Center (Physical Therapy)
5005 S KIPLING PKWY STE A4
LITTLETON, CO 80127

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Benjamin Simmons's NPI number?

The NPI number for Benjamin Simmons is 1215665153. It was assigned to this individual provider in the NPPES registry on August 9, 2022.

Where is Benjamin Simmons located?

Benjamin Simmons practices at 5005 S Kipling Pkwy Ste A4, Littleton, CO 80127. The listed phone number is (303) 274-7331.

What is Benjamin Simmons's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Benjamin Simmons enrolled in Medicare?

Yes. Benjamin Simmons is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Benjamin Simmons's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Simmons reassigns Medicare benefits to 7 organizations: Drayer Physical Therapy-Alabama, LLC (Florence, AL), Results-Ast Jv, LLC (Franklin, TN), Drayer Physical Therapy Kentucky LLC (Georgetown, KY), Drayer Physical Therapy Northern Ohio LLC (Dayton, OH), Agilitas Usa Inc (Hixson, TN) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Benjamin Simmons's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Benjamin Simmons accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 3 other insurers list Benjamin Simmons as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Benjamin Simmons was last updated on November 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.