Carissa Simmons, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA16297 Issued in FL

Practice address

1483 SW Bougainvillea Ave
Port Saint Lucie, FL 34953-7302

Phone

(772) 336-6928

NPI assigned

Mar 21, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Advance Speech Therapy Services, Inc.

  • Clinic/Center
  • Port Saint Lucie, FL
  • NPI 1972721439
  NPD (past)

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

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521590400000",
    "number": "1093219297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E SUGARLAND CIR",
            "city": "CLEWISTON",
            "state": "FL",
            "postal_code": "334404214",
            "telephone_number": "863-244-9863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1483 SW BOUGAINVILLEA AVE",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349537302",
            "telephone_number": "772-336-6928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "CARISSA",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-21",
        "last_updated": "2018-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA16297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John L Silva, DC
• Silver Rides PSL, LLC
• Silver Rides,LLC
• Alyssa Lauren Simmonds, LMHC
• Adrianna Simmons, OD
• Erica J Simmons
• Charlotte Simpkins
• Sinus Node Solutions (Advanced Heart And Rhythm Clinic)
• Moises Siperstein-Blumovicz, M.D.
• Sirenisea LLC (Gentle Chiropractic Offices)

• Occupational Therapy Assistant in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Occupational Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2018; 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.