Ellen Marvel Simmons, OTRL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201003844 Issued in MI

Practice address

2100 E Provincial House Dr
Lansing, MI 48910-4884

Phone

(517) 272-4029

Fax

(517) 272-4035

NPI assigned

Aug 3, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ellen Marvel Hersey Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1438560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438560000000",
    "number": "1215313127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11733 SARA ANN DR",
            "city": "DEWITT",
            "state": "MI",
            "postal_code": "488207793",
            "telephone_number": "517-281-9741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 E PROVINCIAL HOUSE DR",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489104884",
            "telephone_number": "517-272-4029",
            "fax_number": "517-272-4035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "ELLEN",
        "middle_name": "MARVEL",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-03",
        "last_updated": "2015-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201003844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLEN",
            "last_name": "HERSEY",
            "middle_name": "MARVEL",
            "credential": "OTR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Doris Lissette Silverio
• Marc E Silverstein, MD
• Faith Simison, RSW
• Bethany Simmons, LLMSW
• Carol Ann-Miskell Simmons, MD
• Richard Arthur Simms, M.D.
• Amanda Rose Simon, OTR/L
• Dana Leigh Simon, CRNA
• Devin Bruce Simon, MD
• Jelena Alethea Simon

• Occupational Therapist in Lansing, MI
• Providers in Lansing, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; 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.