Individual provider Active NPI

Lauren Juliet Simanski, OT

  • Occupational Therapist
  • Canton, GA
National Provider Identifier
1609316306
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT006682 Issued in GA
Practice address
1453 Riverstone Pkwy
Ste 170
Canton, GA 30114-5626
Phone
(770) 704-0774
Fax
(770) 704-0779
NPI assigned
Feb 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT006682 GA Primary

Addresses

Primary practice location

1453 Riverstone Pkwy
Ste 170
Canton, GA 30114-5626

Mailing address

8823 Production LN
Ooltewah, TN 37363-6511
Phone (423) 238-7217

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170322001938 GA Practitioner - Occupational Therapist in Private Practice 7012292626 Reassigns benefits to 2 organizations
I20250219003016 TX Practitioner - Occupational Therapist in Private Practice 7012292626 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Healing Hands LLCGroup PAC ID 7719268861, 6 clinicians

Practice addresses (Care Compare)

234 N Expressway
B
Brownsville, TX 78521-2258
Phone (956) 667-5050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT006682GAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Independent Physical Therapy of Georgia, LLC Occupational Therapist CurrentSince Mar 6, 2017 Accepting new patients
Valley Healing Hands LLC Occupational Therapist CurrentSince Feb 4, 2025 Accepting new patients
Georgia Hand , Shoulder & Elbow PC CurrentSince Sep 22, 2022 Accepting new patients
Independent Physical Therapy of Georgia, LLC Occupational Therapist CurrentSince Mar 6, 2017 Accepting new patients
Dolphin Diagnostic Solutions LLC PastSince Aug 13, 2023 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

2061 Peachtree Rd NE
Ste 500
Atlanta, GA 30309
Phone (404) 352-3522

1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001

1453 Riverstone Pkwy
Ste 170
Canton, GA 30114
Phone (770) 704-0077

11490 Alpharetta Hwy
Ste 200
Roswell, GA 30076
Phone (770) 740-8592

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923

8823 Production Ln
Ooltewah, TN 37363
Phone (423) 238-8923

234 N Expressway
Ste B
Brownsville, TX 78521

1225 N Expressway
Ste 2A
Brownsville, TX 78520
Phone (956) 667-5050

234 N Expressway
#A
Brownsville, TX 78521
Phone (956) 667-5050

234 N Expressway
#B
Brownsville, TX 78521
Phone (956) 667-5050

3475 W Alton Gloor Blvd
Ste D
Brownsville, TX 78520
Phone (956) 350-2143

234 N Expressway
Ste A
Brownsville, TX 78521

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5080/brand/2/csg/22/fhir/r4

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1488240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488240000000",
    "number": "1609316306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8823 PRODUCTION LN",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373636511",
            "telephone_number": "423-238-7217",
            "fax_number": "423-362-8684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1453 RIVERSTONE PKWY",
            "address_2": "STE 170",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301145626",
            "telephone_number": "770-704-0774",
            "fax_number": "770-704-0779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMANSKI",
        "first_name": "LAUREN",
        "middle_name": "JULIET",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-28",
        "last_updated": "2017-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT006682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; 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.