Genesia Simmons, COTA
Individual provider Active NPI Occupational Therapy Assistant · Indiana, OH
NPI 1144869983 · NPPES record last updated Dec 26, 2019
Key facts
- NPI
- 1144869983
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- Practice address
- 118 Medical Drive, Carmel
Indiana, OH 46032 - Phone
- (513) 754-3100
- NPI assigned
- Dec 26, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | Yes |
Addresses
Primary practice location
118 Medical Drive, Carmel
Indiana, OH 46032
Mailing address
8967 Cherry Blossom LN
Cincinnati, OH 45231-3803
Phone (513) 498-0895
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 26, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.