Individual provider Active NPI

Aaron Fitzsimmons, CP, OT

  • Prosthetic/Orthotic Supplier
  • Nashville, TN
National Provider Identifier
1396822151
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
68 Issued in TN
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

Updated by the provider on Mar 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
68TNMDAssistant Behavior Analyst

Practice roles

OrganizationSpecialtyStatusNew 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

  • FHIR API: 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.

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.

Verify at the official NPI Registry.