Active NPI
Robert Scott Simmons, MS OTR/L
- Specialist
- Gilbert, AZ
National Provider Identifier
1609202480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 5594
- Practice address
- 4902 S Val Vista Dr
Suite B-102
Gilbert, AZ 85298-7325 - Phone
- (480) 855-8866
- NPI assigned
- Sep 24, 2013
- Last updated
- Sep 24, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 5594 | AZ | Primary |
Addresses
Primary practice location
4902 S Val Vista Dr
Suite B-102
Gilbert, AZ 85298-7325
Mailing address
4902 S Val Vista Dr
Suite B-102
Gilbert, AZ 85298-7325
Phone (480) 855-8866
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5594 | AZ | MD | Sports Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Industrial on-Site Network, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379980800000",
"number": "1609202480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4902 S VAL VISTA DR",
"address_2": "SUITE B-102",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852987325",
"telephone_number": "480-855-8866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4902 S VAL VISTA DR",
"address_2": "SUITE B-102",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852987325",
"telephone_number": "480-855-8866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "ROBERT",
"middle_name": "SCOTT",
"credential": "MS OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-09-24",
"last_updated": "2013-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AZ",
"license": "5594",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.