Active NPI
Allen Boyd Simpson, MOTR/L
- Physical Rehabilitation Occupational Therapist
- Afton, WY
National Provider Identifier
1609302009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Rehabilitation Occupational Therapist
- License
- 1142
- Practice address
- 901 Adams St
Afton, WY 83110-9621 - Phone
- (307) 885-5800
- NPI assigned
- May 4, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Rehabilitation Occupational Therapist | 225XP0019X | 1142 | WY | Primary |
| Pediatric Occupational Therapist | 225XP0200X | 1142 | WY |
Addresses
Primary practice location
901 Adams St
Afton, WY 83110-9621
Mailing address
PO Box 1628
Afton, WY 83110-1628
Phone (307) 413-6717
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1142 | WY | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493856000000",
"number": "1609302009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1628",
"city": "AFTON",
"state": "WY",
"postal_code": "831101628",
"telephone_number": "307-413-6717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 ADAMS ST",
"city": "AFTON",
"state": "WY",
"postal_code": "831109621",
"telephone_number": "307-885-5800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMPSON",
"first_name": "ALLEN",
"middle_name": "BOYD",
"name_prefix": "Mr.",
"credential": "MOTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-04",
"last_updated": "2017-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "WY",
"license": "1142",
"primary": true
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "WY",
"license": "1142",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Afton, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.