Active NPI
Kaitlyn Simmons, OTR/L
- Occupational Therapist
- Niagara Falls, NY
National Provider Identifier
1477036747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 022842
- Practice address
- 621 10TH St
Niagara Falls, NY 14301-1813 - Phone
- (716) 278-4000
- NPI assigned
- Sep 12, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 022842 | NY | Primary |
Addresses
Primary practice location
621 10TH St
Niagara Falls, NY 14301-1813
Mailing address
818 Starin Ave
Buffalo, NY 14223-2716
Phone (716) 553-4471
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 |
|---|---|---|---|
| 022842 | NY | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536710400000",
"number": "1477036747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "818 STARIN AVE",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142232716",
"telephone_number": "716-553-4471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 10TH ST",
"city": "NIAGARA FALLS",
"state": "NY",
"postal_code": "143011813",
"telephone_number": "716-278-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "KAITLYN",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-12",
"last_updated": "2018-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "022842",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Niagara Falls, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.