Mary M Simpson, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

3173 Issued in SC

Practice address

4122 Clemson Blvd Ste 4G
Anderson, SC 29621-1100

Phone

(864) 772-1004

Fax

(833) 796-6540

NPI assigned

Nov 1, 2006

Last updated

Jul 15, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Clair Physical Therapy, LLCGroup PAC ID 8426599432, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• St Clair Physical Therapy, LLC

  dba FYZICAL Therapy & Balance Centers - Northlake

  • Physical Therapist
  • Anderson, SC
  • NPI 1649040361

  Occupational Therapist

  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1568540284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 WOODHAVEN WAY",
            "city": "EASLEY",
            "state": "SC",
            "postal_code": "296429030",
            "telephone_number": "864-772-1004",
            "fax_number": "833-796-6540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4122 CLEMSON BLVD STE 4G",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296211100",
            "telephone_number": "864-772-1004",
            "fax_number": "833-796-6540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Doctors Dr",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296054265",
            "country_code": "US",
            "telephone_number": "864-797-7320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "MARY",
        "middle_name": "M",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "3173",
            "primary": true
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "SC",
            "license": "3173",
            "primary": false
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "SC",
            "license": "3173",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiwanda Simpkins
• Alicia Skelton Simpson, OTR/L
• Connie D. Simpson, FNP
• Gabrielle Simpson, ATC
• Lacey Simpson
• Raechele Simpson
• Adair Kristin Simril, PHARMD
• Jason Andrew Single, D.D.S.
• Christian E Singleton
• Siri Cancer, Blood and Infusion Center

• Occupational Therapist in Anderson, SC
• Providers in Anderson, SC by specialty
• Occupational Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.