Mira Simonson (NPI# 1649565375, PAC ID# 2466725403) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1649565375 |
| PAC ID by PECOS | 2466725403 |
| Professional Enrollment ID | I20170913001648 |
| Full Name | Mira Simonson |
| Organization Legal Name | REVOLUTION SPORT AND SPINE THERAPY LLC |
| Address |
35249 Kenai Spur Hwy Suite C Soldotna AK 99669-7623 |
| Phone Number | 9074200836 |
| Gender | F |
| Graduation Year | 1981 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 6507146412 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 35249 Kenai Spur Hwy, Suite C, Soldotna, AK 99669-7623 | 9074200836 | REVOLUTION SPORT AND SPINE THERAPY LLC |
| Organization Legal Name | REVOLUTION SPORT AND SPINE THERAPY LLC |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maggie K Goedeke | Physical Therapy | Revolution Sport and Spine Therapy LLC | 4141 Pennock St, Homer, AK 99603-7223 |
| Emily R Rogers | Physical Therapy | Revolution Sport and Spine Therapy LLC | 2395 Kachemak Dr, Suite A, Homer, AK 99603-8021 |
| Anna Boyd | Physical Therapy | Revolution Sport and Spine Therapy LLC | 35249 Kenai Spur Hwy, Suite C, Soldotna, AK 99669-7623 |
| Taylor A Robinson | Physical Therapy | Revolution Sport and Spine Therapy LLC | 35249 Kenai Spur Hwy, Suite C, Soldotna, AK 99669-7623 |
| Heather Johnson | Physical Therapy | Revolution Sport and Spine Therapy LLC | 35249 Kenai Spur Hwy, Suite C, Soldotna, AK 99669-7623 |
| Daniel M King | Physical Therapy | Revolution Sport and Spine Therapy LLC | 35249 Kenai Spur Hwy, Suite C, Soldotna, AK 99669-7623 |
| Lora A Harroff | Physical Therapy | Revolution Sport and Spine Therapy LLC | 35249 Kenai Spur Hwy, Suite C, Soldotna, AK 99669-7623 |
| Bryan Daniel Frapp | Physical Therapy | Revolution Sport and Spine Therapy LLC | 35249 Kenai Spur Hwy, Suite C, Soldotna, AK 99669-7623 |
| Mark Edward Cunningham | Physical Therapy | Revolution Sport and Spine Therapy LLC | 35249 Kenai Spur Hwy, Suite C, Soldotna, AK 99669-7623 |
| Jason Edward Buckbee | Physical Therapy | Revolution Sport and Spine Therapy LLC | 35249 Kenai Spur Hwy, Suite C, Soldotna, AK 99669-7623 |
| Street Address |
35249 KENAI SPUR HWY SUITE C |
| City | SOLDOTNA |
| State | AK |
| Zip | 99669-7623 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura Huling | Chiropractic | 35249 Kenai Spur Hwy, Suite C, Soldotna, AK 99669-7623 | |
| Anna Boyd | Physical Therapy | Revolution Sport and Spine Therapy LLC | 35249 Kenai Spur Hwy, Suite C, Soldotna, AK 99669-7623 |
| Taylor A Robinson | Physical Therapy | Revolution Sport and Spine Therapy LLC | 35249 Kenai Spur Hwy, Suite C, Soldotna, AK 99669-7623 |
| Heather Johnson | Physical Therapy | Revolution Sport and Spine Therapy LLC | 35249 Kenai Spur Hwy, Suite C, Soldotna, AK 99669-7623 |
| Daniel M King | Physical Therapy | Revolution Sport and Spine Therapy LLC | 35249 Kenai Spur Hwy, Suite C, Soldotna, AK 99669-7623 |
| Lora A Harroff | Physical Therapy | Revolution Sport and Spine Therapy LLC | 35249 Kenai Spur Hwy, Suite C, Soldotna, AK 99669-7623 |
| Bryan Daniel Frapp | Physical Therapy | Revolution Sport and Spine Therapy LLC | 35249 Kenai Spur Hwy, Suite C, Soldotna, AK 99669-7623 |
| Mark Edward Cunningham | Physical Therapy | Revolution Sport and Spine Therapy LLC | 35249 Kenai Spur Hwy, Suite C, Soldotna, AK 99669-7623 |
| Jason Edward Buckbee | Physical Therapy | Revolution Sport and Spine Therapy LLC | 35249 Kenai Spur Hwy, Suite C, Soldotna, AK 99669-7623 |
| Mavrick Kuzmin | Physical Therapy | Revolution Sport and Spine Therapy LLC | 35249 Kenai Spur Hwy, Suite C, Soldotna, AK 99669-7623 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jill Skidmore-erickson | Physical Therapy | Alaskan Physical Therapy, Inc | 36275 Kenai Spur Hwy, Soldotna, AK 99669-7157 |
| Kristin L Eastman | Dermatology | 209 W Katmai Ave, Soldotna, AK 99669-7409 | |
| Ken Youngberg | Clinical Social Worker | 232 W Rockwell Ave, Soldotna, AK 99669-7411 | |
| Aaron Haynes | Hospitalist | South Sound Inpatient Physicians Pllc | 232 W Rockwell Ave, Soldotna, AK 99669-7411 |
| Christina M Turknett | Nurse Practitioner | Family Medical Clinic | 206 W Rockwell Ave, Suite 100, Soldotna, AK 99669-7439 |
| Lavern R Davidhizar | Family Medicine | Family Medical Clinic | 206 W Rockwell Ave, Suite 100, Soldotna, AK 99669-7439 |
| Patty Marie Bilbrey | Nurse Practitioner | Family Medical Clinic | 206 W Rockwell Ave, Suite 100, Soldotna, AK 99669-7439 |
| Solomon M Pearce | Physical Medicine and Rehabilitation | Family Medical Clinic | 206 W Rockwell Ave, Suite 100, Soldotna, AK 99669-7439 |
| Evelyn Louise Clough | Nurse Practitioner | Family Medical Clinic | 206 W Rockwell Ave, Suite 100, Soldotna, AK 99669-7439 |
| Carol M James | Nurse Practitioner | Family Medical Clinic | 206 W Rockwell Ave, Suite 100, Soldotna, AK 99669-7439 |
| Find all physicians in zip 99669 | |||
| City | SOLDOTNA |
| Zip Code | 99669 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | SOLDOTNA + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Mira Simonson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.