Individual provider Active NPI

Meghan Anne Simpson, OTR/L

  • Occupational Therapist
  • Chattanooga, TN
National Provider Identifier
1104438704
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT011095 Issued in OH
Practice address
6172 Airways Blvd Ste 122
Chattanooga, TN 37421-2915
Phone
(423) 622-1551
NPI assigned
Aug 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT011095 OH Primary

Addresses

Primary practice location

6172 Airways Blvd Ste 122
Chattanooga, TN 37421-2915

Mailing address

6172 Airways Blvd Ste 122
Chattanooga, TN 37421-2915
Phone (423) 622-1551

Other practice location 1

951 High St Lowr Level
Worthington, OH 43085-4099
Phone (956) 237-6894

Other identifiers 1

IdentifierTypeStateIssuer
0306774MedicaidOH

Other names 1

  • Meghan Anne Esarove Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.fusionwebclinic.com Direct

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

LicenseStateTypeSpecialty
OT011095OHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Casa Speech, LLC PastSince Aug 1, 2020 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": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1104438704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6172 AIRWAYS BLVD STE 122",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212915",
            "telephone_number": "423-622-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6172 AIRWAYS BLVD STE 122",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212915",
            "telephone_number": "423-622-1551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "951 High St Lowr Level",
            "address_purpose": "LOCATION",
            "city": "Worthington",
            "state": "OH",
            "postal_code": "430854099",
            "country_code": "US",
            "telephone_number": "956-237-6894",
            "fax_number": "615-505-6041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "MEGHAN",
        "middle_name": "ANNE",
        "name_prefix": "Miss",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-17",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT011095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0306774",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.fusionwebclinic.com",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EMR",
            "address_1": "951 High St Lowr Level",
            "city": "Worthington",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430854099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MEGHAN",
            "last_name": "ESAROVE",
            "middle_name": "ANNE",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; 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.