Organization Active NPI

Simmons Therapy Associates PLLC

  • Early Intervention Provider Agency
  • Winston Salem, NC
National Provider Identifier
1285917302
Registry record updated Sep 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
748 Issued in NC
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

Updated by the provider on Sep 25, 2011

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

Authorized official

Name
Mrs. Martha C Simmons, OTR/LNPI 1982890828
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
748OtherNCNORTH CAROLINA BOARD OF OCCUPATIONAL THERAPY

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.