MARK SIMMONS DPT
NPI 1225411457
Physical Therapist - Electrophysiology, Clinical in Hendersonville, TN

Q: What is Mark Simmons's NPI number?

The NPI number for Mark Simmons is 1225411457. It was assigned to this individual provider in the NPPES registry on July 7, 2015.

Q: What is Mark Simmons's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Electrophysiology, Clinical, with taxonomy code 2251E1300X.

Q: When was this NPI record last updated?

The NPPES record for Mark Simmons was last updated on March 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.

Active since July 07, 2015Accepts Medicare Assignment

353 NEW SHACKLE ISLAND RD STE 142C, HENDERSONVILLE, TN 37075(615) 826-4205 Get Directions Write a Review

NPPES record last updated: March 17, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 17, 2026, Mar 10, 2026, Aug 1, 2024 and 2 more (5 updates tracked since 2017).

On this page

About Mark Simmons Dpt NPPES

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

MARK SIMMONS DPT (NPI 1225411457) is an individual electrophysiology, clinical provider in Hendersonville, Tennessee, licensed in North Carolina (CPO15837T) and active in the NPI registry since July 2015. He maintains 2 additional practice locations and is a graduate of Other (2010).

NPPES Registry Identity

NPI1225411457

Entity TypeIndividualMale

Primary Taxonomy2251E1300X

Provider Legal NameMARK SIMMONSCredential: DPT

Location Address353 NEW SHACKLE ISLAND RD STE 142CHendersonville, TN 37075-2487

Mailing AddressPo Box 370Fortson, GA 31808-0370

Phone(615) 826-4205

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateJuly 7, 2015

Last NPPES UpdateMarch 17, 20265 updates tracked since enumeration

NPPES CertifiedMarch 17, 2026

✔ NPI 1225411457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Therapist · Electrophysiology, ClinicalRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251E1300X

Licenses✔ Licensed in NC · CPO15837T✔ Licensed in TN · 11407

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Clinical Electrophysiologic Physical Therapy, who has demonstrated specialized knowledge and skill in electrophysiologic examinations and evaluations and encompasses both the professional and technical components of the observation, recording, analysis, and interpretation of bioelectric muscle and nerve potentials, detected by means of surface or needle electrodes, for the purpose of evaluating the integrity of the neuromuscular system. Electrophysiologic evaluations include, but are not limited to, electrodiagnostic testing, which includes clinical needle electromyography, motor and sensory nerve conduction studies, and other evoked potential procedures.

Also ListedPhysical TherapistTaxonomy 225100000X · License PTH6577 (AL), PT010834 (GA)

353 NEW SHACKLE ISLAND RD STE 142C, Hendersonville, TN 37075

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Secondary Practice Locations 2

Location 16262 Veterans PkwyColumbus, GA 31909-3540 · Phone (706) 324-6661 · Fax (706) 494-3201

Location 22585 Hendersonville RdArden, NC 28704-9577 · Phone (828) 258-8800 · Fax (828) 651-0026

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Arkansas Health & Wellness, Ambetter Health and more.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

Mark Simmons 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 ID3678886322

PECOS Enrollment IDI20150723008786, I20170815003136, I20241106002425

Medicare Billing Reassignments

Medicare enrollment records show Mark Simmons reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Advanced Diagnostic Imaging, PC

4.5 mi

Internal Medicine

3024 BUSINESS PARK CIR
Goodlettsville, TN 37072

Reassigned Medicare billing, Tennessee enrollment
734 clinicians in this Medicare group

NPI 1093741464 (615) 239-2061

Advanced Specialists, PC

4.5 mi

Internal Medicine

3024 BUSINESS PARK CIR
Goodlettsville, TN 37072

Reassigned Medicare billing, Tennessee enrollment
317 clinicians in this Medicare group

NPI 1649133463 (615) 239-2018

Metropolitan Hospital Authority

15 mi

Multi-Specialty

1818 ALBION ST
Nashville, TN 37208

Reassigned Medicare billing, Tennessee enrollment
114 clinicians in this Medicare group

NPI 1710206156 (615) 851-0144

Premier Orthopaedics & Sports Medicine Plc

16 mi

Orthopaedic Surgery

2400 PATTERSON ST STE 300
Nashville, TN 37203

Reassigned Medicare billing, Tennessee enrollment
71 clinicians in this Medicare group

NPI 1972577351 (615) 342-6300

Chattanooga Orthopaedic Group, PC

107 mi

Orthopaedic Surgery

7693 RHEA COUNTY HWY STE 8
Dayton, TN 37321

Reassigned Medicare billing, Tennessee enrollment
74 clinicians in this Medicare group

NPI 1013899038 (423) 624-2696

Emg Solutions, LLC

112 mi

Electrophysiology, Clinical

810 SHONEY DR SW STE 105
Huntsville, AL 35801

Reassigned Medicare billing, Alabama enrollment
5 clinicians in this Medicare group

NPI 1922964162 (334) 318-9023

Sportsmed Orthopaedic Specialists

112 mi

Orthopaedic Surgery

4715 WHITESBURG DR.
Huntsville, AL 35802

Reassigned Medicare billing, Alabama enrollment
111 clinicians in this Medicare group

NPI 1508947839 (256) 881-5151

West Tennessee Bone And Joint Clinic PC

134 mi

Specialist

50 CAPITAL AVE
Jackson, TN 38305

Reassigned Medicare billing, Tennessee enrollment
75 clinicians in this Medicare group

NPI 1831312461 (731) 410-2308

Bridgeway Diagnostic Radiology

278 mi

Diagnostic Radiology

5007 SUMMERVILLE ROAD
Phenix City, AL 36867

Reassigned Medicare billing, Alabama enrollment
17 clinicians in this Medicare group

NPI 1306248729 (334) 408-2854

Hughston Clinic, P.C.

278 mi

Orthopaedic Surgery

6262 VETERANS PKWY
Columbus, GA 31909

Reassigned Medicare billing, Alabama and Georgia enrollments
Medicare enrollment name: Hughston Clinic PC
107 clinicians in this Medicare group

NPI 1164461190 (706) 324-6661

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 3

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.

Needle measurement of electrical activity in arm or leg muscles, complete study 95886

This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.

146 services94 patients

Nerve conduction, 9-10 studies 95911

Nerve conduction studies involve sending small electrical shocks through the skin to measure how quickly nerves transmit signals. This helps detect nerve damage. 9-10 studies mean this process will be repeated on different nerves to gather comprehensive data.

45 services45 patients

Nerve conduction, 5-6 studies 95909

Nerve conduction studies involve testing the speed and strength of signals traveling through your nerves. This helps identify any nerve damage or dysfunction. For 5-6 studies, this means multiple nerves will be tested. Small electrodes are placed on your skin to send and receive signals, causing minimal discomfort.

36 services36 patients

Other Providers at the Same Location NPPES 3

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

COLE ALAN SIMMONS

Physical Therapist

353 NEW SHACKLE ISLAND RD STE 142C
HENDERSONVILLE, TN 37075

Sumner County (615) 826-4205

MRS. LESLIE LEGER VANKERKHOVE LOTR

Occupational Therapist (Hand)

353 NEW SHACKLE ISLAND RD STE 142C
HENDERSONVILLE, TN 37075

Sumner County (615) 826-4205

KATHLEEN MARIE WALKER PT, DPT

Physical Therapist

353 NEW SHACKLE ISLAND RD STE 142C
HENDERSONVILLE, TN 37075

Sumner County (615) 826-4205

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 Mark Simmons's NPI number?

The NPI number for Mark Simmons is 1225411457. It was assigned to this individual provider in the NPPES registry on July 7, 2015.

Where is Mark Simmons located?

Mark Simmons practices at 353 New Shackle Island Rd Ste 142C, Hendersonville, TN 37075. The listed phone number is (615) 826-4205.

What is Mark Simmons's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Electrophysiology, Clinical, with taxonomy code 2251E1300X.

Is Mark Simmons enrolled in Medicare?

Yes. Mark 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 Mark Simmons's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Simmons reassigns Medicare benefits to 11 organizations: Advanced Diagnostic Imaging, PC (Goodlettsville, TN), Advanced Specialists, PC (Goodlettsville, TN), Metropolitan Hospital Authority (Nashville, TN), Premier Orthopaedics & Sports Medicine Plc (Nashville, TN), Chattanooga Orthopaedic Group, PC (Dayton, TN) and 6 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 Mark Simmons's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Simmons accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama and Ambetter of North Carolina and 4 other insurers list Mark 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 Mark Simmons was last updated on March 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.