Active NPI
Charlene T Simpson, OTR
- Occupational Therapist
- Upper Chichester, PA
National Provider Identifier
1104112630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- TOC102144
- Practice address
- 3131 Meetinghouse Rd
Apartment Y-3
Upper Chichester, PA 19061-2947 - Phone
- (610) 859-0110
- NPI assigned
- Jun 23, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | TOC102144 | PA | Primary |
Addresses
Primary practice location
3131 Meetinghouse Rd
Apartment Y-3
Upper Chichester, PA 19061-2947
Mailing address
3131 Meetinghouse Rd
Apartment Y-3
Upper Chichester, PA 19061-2947
Phone (610) 859-0110
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TOC102144 | PA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308787200000",
"number": "1104112630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3131 MEETINGHOUSE RD",
"address_2": "APARTMENT Y-3",
"city": "UPPER CHICHESTER",
"state": "PA",
"postal_code": "190612947",
"telephone_number": "610-859-0110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3131 MEETINGHOUSE RD",
"address_2": "APARTMENT Y-3",
"city": "UPPER CHICHESTER",
"state": "PA",
"postal_code": "190612947",
"telephone_number": "610-859-0110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMPSON",
"first_name": "CHARLENE",
"middle_name": "T",
"name_prefix": "Mrs.",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-23",
"last_updated": "2011-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "TOC102144",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Upper Chichester, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.