Individual provider Active NPI

Michael Lewis Simmons, MS, OTR/L

  • Occupational Therapist
  • Gilbert, AZ
National Provider Identifier
1093339731
Registry record updated May 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTH-002760 Issued in AZ
Practice address
2451 E Baseline Rd
Gilbert, AZ 85234-2471
Phone
(480) 474-4173
Fax
(480) 422-2436
NPI assigned
May 28, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2020

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

Specialties & licenses 13

Specialty (taxonomy)CodeLicenseStatePrimary
Environmental Modification Occupational Therapist 225XE0001X OTH-002760 AZ
Ergonomics Occupational Therapist 225XE1200X OTH-002760 AZ
Feeding, Eating & Swallowing Occupational Therapist 225XF0002X OTH-002760 AZ
Gerontology Occupational Therapist 225XG0600X OTH-002760 AZ
Hand Occupational Therapist 225XH1200X OTH-002760 AZ
Human Factors Occupational Therapist 225XH1300X OTH-002760 AZ
Low Vision Occupational Therapist 225XL0004X OTH-002760 AZ
Mental Health Occupational Therapist 225XM0800X OTH-002760 AZ
Neurorehabilitation Occupational Therapist 225XN1300X OTH-002760 AZ
Physical Rehabilitation Occupational Therapist 225XP0019X OTH-002760 AZ
Pediatric Occupational Therapist 225XP0200X OTH-002760 AZ
Driving and Community Mobility Occupational Therapist 225XR0403X OTH-002760 AZ
Occupational Therapist 225X00000X OTH-002760 AZ Primary

Addresses

Primary practice location

2451 E Baseline Rd
Gilbert, AZ 85234-2471

Mailing address

6751 S Danielson Way
Chandler, AZ 85249-4624
Phone (480) 295-5137

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
OTH-002760AZMDHuman Factors Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Herring Physical Therapy, LLC Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1590624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1093339731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6751 S DANIELSON WAY",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852494624",
            "telephone_number": "480-295-5137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 E BASELINE RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342471",
            "telephone_number": "480-474-4173",
            "fax_number": "480-422-2436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "MICHAEL",
        "middle_name": "LEWIS",
        "credential": "MS, OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-28",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XE0001X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Environmental Modification",
            "state": "AZ",
            "license": "OTH-002760",
            "primary": false
        },
        {
            "code": "225XE1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Ergonomics",
            "state": "AZ",
            "license": "OTH-002760",
            "primary": false
        },
        {
            "code": "225XF0002X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Feeding, Eating & Swallowing",
            "state": "AZ",
            "license": "OTH-002760",
            "primary": false
        },
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "AZ",
            "license": "OTH-002760",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "AZ",
            "license": "OTH-002760",
            "primary": false
        },
        {
            "code": "225XH1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Human Factors",
            "state": "AZ",
            "license": "OTH-002760",
            "primary": false
        },
        {
            "code": "225XL0004X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Low Vision",
            "state": "AZ",
            "license": "OTH-002760",
            "primary": false
        },
        {
            "code": "225XM0800X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Mental Health",
            "state": "AZ",
            "license": "OTH-002760",
            "primary": false
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "AZ",
            "license": "OTH-002760",
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "AZ",
            "license": "OTH-002760",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "AZ",
            "license": "OTH-002760",
            "primary": false
        },
        {
            "code": "225XR0403X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Driving and Community Mobility",
            "state": "AZ",
            "license": "OTH-002760",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "OTH-002760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.