Active NPI
Michael Lewis Simmons, MS, OTR/L
- Occupational Therapist
- Gilbert, AZ
National Provider Identifier
1093339731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OTH-002760
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 13
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| OTH-002760 | AZ | MD | Human Factors Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Physical Therapist
- Mesa, AZ
- NPI 1720261183
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.