Individual provider Active NPI

Kasey Paul Simpson, PT, DC

  • Chiropractor
  • Cushing, OK
National Provider Identifier
1114947215
Registry record updated Apr 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3481 Issued in OK
Practice address
1523 E Main St
Cushing, OK 74023-3039
Phone
(918) 225-2225
Fax
(918) 225-4915
NPI assigned
Jul 20, 2006
Last updated
Apr 15, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3481 OK Primary
Physical Therapist 225100000X 2062 OK

Addresses

Primary practice location

1523 E Main St
Cushing, OK 74023-3039

Mailing address

1523 E Main St
Cushing, OK 74023-3039
Phone (918) 225-2225

Other identifiers 1

IdentifierTypeStateIssuer
1114947215OtherOKBLUE CROSS/BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040323000103 OK Practitioner - Physical Therapist in Private Practice 3274424080 Reassigns benefits to 1 organization
I20061110000105 OK Practitioner - Chiropractic 3274424080 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1523 E Main St
Cushing, OK 74023-3039

1523 E Main St
Cushing, OK 74024-3039
Phone 91822522252

1525 E Main St
Cushing, OK 74023-3039

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3481OKMDMarriage & Family Therapist
2062OKMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Simpson Physical Therapy Center Physical Therapist CurrentSince May 3, 1999 Accepting new patients
Simpson Chiropractic & Physical Therapy Center Chiropractor CurrentSince Nov 1, 2006 Accepting new patients

Locations

1523 E Main St
Cushing, OK 74023
Phone (918) 225-2225

1525 E Main St
Cushing, OK 74023
Phone (918) 225-2225

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586908800000",
    "number": "1114947215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1523 E MAIN ST",
            "city": "CUSHING",
            "state": "OK",
            "postal_code": "740233039",
            "telephone_number": "918-225-2225",
            "fax_number": "918-225-4915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1523 E MAIN ST",
            "city": "CUSHING",
            "state": "OK",
            "postal_code": "740233039",
            "telephone_number": "918-225-2225",
            "fax_number": "918-225-4915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "KASEY",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "PT, DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3481",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "2062",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "1114947215",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cushing, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.