Aaron Simon, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

025402-01 Issued in NY

Practice address

297 N Ballston Rd
Scotia, NY 12302-3126

Phone

(518) 370-4700

NPI assigned

Sep 16, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Age Well Physical Therapy

  • Specialist
  • Dresher, PA
  • NPI 1437602554
  NPD
• Wound Healing Solutions LLC

  • Adult Health Nurse Practitioner
  • Barrington, NJ
  • NPI 1225069966
  NPD (past)

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1083220057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "297 N BALLSTON RD",
            "city": "SCOTIA",
            "state": "NY",
            "postal_code": "123023126",
            "telephone_number": "518-370-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "297 N BALLSTON RD",
            "city": "SCOTIA",
            "state": "NY",
            "postal_code": "123023126",
            "telephone_number": "518-370-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "AARON",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-16",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC16959",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "025402-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143702554",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "agewell@agewellphysicaltherapy.com",
            "affiliation": "N",
            "address_1": "1956 Limekiln Pike",
            "city": "Dresher",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190251917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Scotia-Glenville Central Schools
• Nicole Shea
• Patrick Sheehan, MHC
• Sheryl R Miller MD PLLC
• Kristel Marie Sidlauskas, PHARMD
• Roger Guy Singer, D.C.
• Diane Skibinski, SLP
• Philip Allen Smith, P.A.-C
• James Allan Spear, OTR
• Ashlie Spence, MHC

• Occupational Therapist in Scotia, NY
• Providers in Scotia, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.