Active NPI
Damon Lee Simpson, COTA/L
- Occupational Therapy Assistant
- Danville, VA
National Provider Identifier
1104303551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 0131000740
- Practice address
- 1616 Maple Dr
Danville, VA 24541 - Phone
- (434) 688-5545
- NPI assigned
- Jul 27, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 0131000740 | VA | Primary |
Addresses
Primary practice location
1616 Maple Dr
Danville, VA 24541
Mailing address
1616 Maple Dr
Danville, VA 24540-1038
Phone (434) 688-5545
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0131000740 | Other | VA | BOARD OF MEDICINE |
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 |
|---|---|---|---|
| 0131000740 | VA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532649600000",
"number": "1104303551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1616 MAPLE DR",
"city": "DANVILLE",
"state": "VA",
"postal_code": "245401038",
"telephone_number": "434-688-5545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1616 MAPLE DR",
"city": "DANVILLE",
"state": "VA",
"postal_code": "24541",
"telephone_number": "434-688-5545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMPSON",
"first_name": "DAMON",
"middle_name": "LEE",
"name_prefix": "Mr.",
"credential": "COTA/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-07-27",
"last_updated": "2018-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "VA",
"license": "0131000740",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF MEDICINE",
"identifier": "0131000740",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Danville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.