Jennifer Simmons, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

210658 Issued in TX

Practice address

300 W State Highway 6
Waco, TX 76712-4041

Phone

(254) 761-8500

NPI assigned

Aug 23, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1534982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534982400000",
    "number": "1235610759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 GLASGOW DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767105751",
            "telephone_number": "903-240-6977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W STATE HIGHWAY 6",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767124041",
            "telephone_number": "254-761-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "JENNIFER",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-23",
        "last_updated": "2018-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "210658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Macgiland Sikod
• Israel Florez Silva, BT
• Ysabel Silva
• Alexandria Silverleaf
• Deborah Simcox, LCSW
• Viola Ruthie Simms
• Jessica M Simon
• Chloe Rose Simone, COTA/L
• Cameron Simonsen, D.O.
• Amy Jo Simpson, LPC

• Occupational Therapy Assistant in Waco, TX
• Providers in Waco, TX by specialty
• Occupational Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2018; 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.