Kelsy Marie Simanski, OTD, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

31006653A Issued in IN

Practice address

12860 Milton Rd
Fishers, IN 46037-6415

Phone

(260) 668-4277

NPI assigned

May 31, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kelsy Marie Tracey Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1063904548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 HAWTHORNE LN",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461429430",
            "telephone_number": "317-332-9861",
            "fax_number": "317-893-4453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12860 MILTON RD",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460376415",
            "telephone_number": "260-668-4277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2701 Chestnut Station Ct",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "40299",
            "country_code": "US",
            "telephone_number": "800-335-1060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMANSKI",
        "first_name": "KELSY",
        "middle_name": "MARIE",
        "credential": "OTD, OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-31",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "99086161A",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31006653A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSY",
            "last_name": "TRACEY",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kanwaldeep Sidhu, MD
• Kerrie Byrnes Siegl, LMFT
• Shawn P. Sigler, O.D.
• Terry Paul Silke, OD
• Luz Mireya Silva-Rueda
• Jennifer Simmons
• Kristen S Simpkins, M.D.
• Simply Dental of Fishers PC
• Sharon Louise Sims, CPNP, PHD
• Kamal Singh

• Occupational Therapist in Fishers, IN
• Providers in Fishers, IN by specialty
• Occupational Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; 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.