Skills 4 Life OT, LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

SKILLS 4 LIFE OT, LLC

Practice address

2020 Broadway St Apt 1
Mount Vernon, IL 62864-2963

Phone

(618) 214-0371

NPI assigned

May 14, 2019

Organization subpart

No

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

Authorized official

Name

Nancy A Simmons, MHS, OTR/LNPI 1841320686

Title

Occupational Therapist

Phone

(618) 214-0371

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nancy Ann Hanks Simmons, OTR

  • Occupational Therapist
  • Centralia, IL
  • NPI 1841320686
  NPD Authorized official

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

{
    "created_epoch": "1557792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557792000000",
    "number": "1164088225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 WOODS LN",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "628016239",
            "telephone_number": "618-214-0371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 BROADWAY ST APT 1",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628642963",
            "telephone_number": "618-214-0371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKILLS 4 LIFE OT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-14",
        "last_updated": "2019-05-14",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "618-214-0371",
        "authorized_official_credential": "MHS, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Bonnie Smith, RN
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• Occupational Therapist in Mount Vernon, IL
• Providers in Mount Vernon, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; 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.