Active NPI
Simmons Therapy Associates PLLC
- Early Intervention Provider Agency
- Winston Salem, NC
National Provider Identifier
1285917302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- License
- 748
- Legal business name
- SIMMONS THERAPY ASSOCIATES PLLC
- Practice address
- 3455 Polo Rd Ste 109
Winston Salem, NC 27106-4860 - Phone
- (336) 287-4949
- NPI assigned
- Sep 25, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Martha C Simmons, OTR/L
- Title
- Owner
- Phone
- (336) 287-4949
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | 748 | NC | Primary |
Addresses
Primary practice location
3455 Polo Rd Ste 109
Winston Salem, NC 27106-4860
Mailing address
193 Woodburn PL
Advance, NC 27006-9456
Phone (336) 287-4949
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 748 | Other | NC | NORTH CAROLINA BOARD OF OCCUPATIONAL THERAPY |
National Provider Directory
National Provider DirectoryLocations
3455 Polo Rd
Ste 109
Winston Salem, NC 27106
Phone (336) 287-4949
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Occupational Therapist
- Winston Salem, NC
- NPI 1982890828
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316908800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1316908800000",
"number": "1285917302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "193 WOODBURN PL",
"city": "ADVANCE",
"state": "NC",
"postal_code": "270069456",
"telephone_number": "336-287-4949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3455 POLO RD STE 109",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271064860",
"telephone_number": "336-287-4949"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIMMONS THERAPY ASSOCIATES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-09-25",
"last_updated": "2011-09-25",
"status": "A",
"authorized_official_last_name": "SIMMONS",
"authorized_official_first_name": "MARTHA",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "336-287-4949",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "OTR/L"
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "NC",
"license": "748",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTH CAROLINA BOARD OF OCCUPATIONAL THERAPY",
"identifier": "748",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.