Jillian Aubrie Simmons, BA, MS, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

488125 Issued in NY

Practice address

171 E 83Rd St Apt 3H
New York, NY 10028-1972

Phone

(413) 214-5360

NPI assigned

Feb 16, 2023

Last updated

Feb 16, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sutton Place Physical Therapy PCGroup PAC ID 8921999046, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Arts, Master of Science

State licenses

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.

• Sutton Place Physical Therapy PC

  • Physical Therapist
  • New York, NY
  • NPI 1225047665
  Medicare reassignment Care Compare group NPD
• Anchor Health Homecare Services Inc

  • Multi-Specialty Clinic/Center
  • Brooklyn, NY
  • NPI 1356071237

  Occupational Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1676505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1598463812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 E 83RD ST APT 3H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100281972",
            "telephone_number": "413-214-5360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 E 83RD ST APT 3H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100281972",
            "telephone_number": "413-214-5360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "JILLIAN",
        "middle_name": "AUBRIE",
        "credential": "BA, MS, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-16",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "488125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "488125",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah A. Simmons, MD
• Evelta Simmons, LPN
• Hannah Simmons, MSW
• James Oscar Simmons III, RPH
• Jeremy Simmons, LMHC
• Jomo K. Alakoye Simmons, LAC DIPL ACU
• Joseph M. Simmons, NBC-HWC
• Keelah Simmons, PA
• Marc Z Simmons, MD
• Melinda Simmons, DNP, APRN, FNP-BC

• Occupational Therapist in New York, NY
• Providers in New York, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; 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.