SIMI PHYSICAL THERAPY CENTER
NPI 1386899763
Clinic/Center - Physical Therapy in Simi Valley, CA
About Simi Physical Therapy Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SIMI PHYSICAL THERAPY CENTER (NPI 1386899763) is a healthcare organization registered as a physical therapy in Simi Valley, California and active in the NPI registry since November 2008. The organization maintains a secondary practice location in Simi Valley and lists Jonah Tan, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Simi Physical Therapy Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Simi Physical Therapy Center, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Divine Health Provider Physical Therapy Inc's NPI number?
The NPI number for Divine Health Provider Physical Therapy Inc is 1386899763. It was assigned to this organization in the NPPES registry on November 26, 2008. The provider is doing business as Simi Physical Therapy Center.
Where is Divine Health Provider Physical Therapy Inc located?
Divine Health Provider Physical Therapy Inc is located at 1687 Erringer Rd Ste 109, Simi Valley, CA 93065. The listed phone number is (805) 581-4266.
What is Divine Health Provider Physical Therapy Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.
Is Divine Health Provider Physical Therapy Inc enrolled in Medicare?
Yes. Divine Health Provider Physical Therapy Inc is registered in the Medicare PECOS enrollment system.
When is Divine Health Provider Physical Therapy Inc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Divine Health Provider Physical Therapy Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Divine Health Provider Physical Therapy Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Divine Health Provider Physical Therapy Inc was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Simi Physical Therapy Center · NPI 1386899763
Physical Therapy organization in Simi Valley, California. Organization record, active in the CMS NPPES registry since November 26, 2008.
## Identity
- **NPI:** 1386899763 (Entity type: Organization)
- **Enumerated:** November 26, 2008
- **Primary specialty:** Clinic/Center - Physical Therapy · taxonomy 261QP2000X
- **Legal business name:** Divine Health Provider Physical Therapy Inc
- **Organization subpart:** No
- **Authorized official:** Jonah Tan, DIRECTOR
## Practice location
- **Address:** 1687 ERRINGER RD STE 109, Simi Valley, CA 93065-6509
- **Phone:** (805) 581-4266 · **Fax:** (805) 581-5049
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Physical Therapist in Private Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 21, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1386899763) · Data from the CMS NPPES public registry.