Active NPI
Stacy Lee Oppliger Simoneaux, OTR/L, MBA-HA
- Occupational Therapist
- Tukwila, WA
National Provider Identifier
1013724558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT61284025
- Practice address
- 6400 Southcenter Blvd
Tukwila, WA 98188-2547 - Phone
- (206) 901-2000
- Fax
- (206) 901-2010
- NPI assigned
- Dec 17, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT61284025 | WA | Primary |
Addresses
Primary practice location
6400 Southcenter Blvd
Tukwila, WA 98188-2547
Mailing address
6400 Southcenter Blvd
Tukwila, WA 98188-2547
Phone (206) 901-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT61284025 | WA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound | Current | Accepting new patients |
Locations
13555 NE Bel Red Rd
Ste 228
Bellevue, WA 98005
Phone (206) 887-7147
1600 E Olive St
Seattle, WA 98122
Phone (206) 302-2800
6400 Southcenter Blvd
Tukwila, WA 98188
Phone (206) 444-3600
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Tukwila, WA
- NPI 1780774950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748563200000",
"number": "1013724558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6400 SOUTHCENTER BLVD",
"city": "TUKWILA",
"state": "WA",
"postal_code": "981882547",
"telephone_number": "206-901-2000",
"fax_number": "206-901-2010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6400 SOUTHCENTER BLVD",
"city": "TUKWILA",
"state": "WA",
"postal_code": "981882547",
"telephone_number": "206-901-2000",
"fax_number": "206-901-2010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMONEAUX",
"first_name": "STACY",
"middle_name": "LEE OPPLIGER",
"credential": "OTR/L, MBA-HA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-17",
"last_updated": "2025-05-30",
"certification_date": "2025-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "OT61284025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tukwila, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.