Amanda Simmons

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

115398 Issued in TX

Practice address

5728 Moon Flower CT
Fort Worth, TX 76244-5189

Phone

(682) 351-8368

NPI assigned

Oct 22, 2014

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

• Amanda Smith Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1413936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413936000000",
    "number": "1235533019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10216 PLEASANT MOUND DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761084924",
            "telephone_number": "214-228-7426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5728 MOON FLOWER CT",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762445189",
            "telephone_number": "682-351-8368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-22",
        "last_updated": "2014-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "115398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "SMITH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• David Simba
• K Bridgett Simeroth, L.P.T.
• Melvin Paul Simien, M.D.
• Karen Elaine Simmons-Clifton, MS, LMHC, LPC
• Felicia Latrice Simmons-Peterson, QMHP
• Joe Louis Simmons, R.PH
• Steven Lee Simmons, D.O.
• Strawberry Simmons
• Surnedra C Simmons, LPC
• Za'Kiya Simmons, RBT

• Occupational Therapist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; 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.