Active NPI
Aaron Fitzsimmons, CP, OT
- Prosthetic/Orthotic Supplier
- Nashville, TN
National Provider Identifier
1396822151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- License
- 68
- Practice address
- 410 42ND Ave N Ste 207
Nashville, TN 37209-3629 - Phone
- (153) 015-2646
- Fax
- (615) 340-4537
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | |||
| Prosthetic/Orthotic Supplier | 335E00000X | 68 | TN | Primary |
Addresses
Primary practice location
410 42ND Ave N Ste 207
Nashville, TN 37209-3629
Mailing address
301 Page Rd
Nashville, TN 37205-4424
Phone (615) 498-3622
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 68 | TN | MD | Assistant Behavior Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Surgical Clinic PLLC | Current | Accepting new patients | |
| The Surgical Clinic, PLLC | Prosthetic/Orthotic Supplier | Current | Accepting new patients |
Locations
356 24th Ave N
Ste 300
Nashville, TN 37203
Phone (615) 301-5264
410 42nd Ave N
Ste 207
Nashville, TN 37209
Phone (615) 301-5264
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IIJFBA
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Prosthetic/Orthotic Supplier
- Nashville, TN
- NPI 1548324403
-
- Surgery Physician
- Nashville, TN
- NPI 1417983099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710720000000",
"number": "1396822151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 PAGE RD",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372054424",
"telephone_number": "615-498-3622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 42ND AVE N STE 207",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372093629",
"telephone_number": "153-015-2646",
"fax_number": "615-340-4537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZSIMMONS",
"first_name": "AARON",
"credential": "CP, OT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2024-03-18",
"certification_date": "2024-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "TN",
"license": "68",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.