Individual provider Active NPI

Cindy Simmons, COTAL

  • Occupational Therapy Assistant
  • Wilmington, NC
National Provider Identifier
1043365570
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
5811 Issued in NC
Practice address
5725 Carolina Beach Rd
Wilmington, NC 28412-2611
Phone
(910) 792-1455
NPI assigned
Jan 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 5811 NC Primary

Addresses

Primary practice location

5725 Carolina Beach Rd
Wilmington, NC 28412-2611

Mailing address

5725 Carolina Beach Rd
Wilmington, NC 28412-2611
Phone (910) 297-9029

Other practice location 1

8397 Heirloom Dr NE
Leland, NC 28451-9439
Phone (910) 297-9029

Other practice location 2

3803 Peachtree Ave
Wilmington, NC 28403-6727
Phone (910) 313-2111

Other practice location 3

8397 Heirloom Dr NE
Leland, NC 28451-9439
Phone (910) 297-9029

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1043365570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5725 CAROLINA BEACH RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284122611",
            "telephone_number": "910-297-9029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5725 CAROLINA BEACH RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284122611",
            "telephone_number": "910-792-1455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8397 Heirloom Dr NE",
            "address_purpose": "LOCATION",
            "city": "Leland",
            "state": "NC",
            "postal_code": "284519439",
            "country_code": "US",
            "telephone_number": "910-297-9029",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3803 Peachtree Ave",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284036727",
            "country_code": "US",
            "telephone_number": "910-313-2111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8397 Heirloom Dr NE",
            "address_purpose": "LOCATION",
            "city": "Leland",
            "state": "NC",
            "postal_code": "284519439",
            "country_code": "US",
            "telephone_number": "910-297-9029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "CINDY",
        "credential": "COTAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NC",
            "license": "5811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.