Active NPI
Brooklyn Kaye Simon, OTR/L
- Occupational Therapist
- Lehi, UT
National Provider Identifier
1659133643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 137523844201
- Practice address
- 2250 N Miller Campus Dr
Lehi, UT 84043-7233 - Phone
- (833) 577-3422
- NPI assigned
- Jan 25, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 137523844201 | UT | Primary |
Addresses
Primary practice location
2250 N Miller Campus Dr
Lehi, UT 84043-7233
Mailing address
PO Box 30180
Salt Lake City, UT 84130-0180
Other practice location 1
3741 W 12600 S Ste 100
Riverton, UT 84065-7215
Phone (801) 571-3081
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 137523844201 | UT | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730678400000",
"number": "1659133643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 30180",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841300180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2250 N MILLER CAMPUS DR",
"city": "LEHI",
"state": "UT",
"postal_code": "840437233",
"telephone_number": "833-577-3422"
}
],
"practiceLocations": [
{
"address_1": "3741 W 12600 S Ste 100",
"address_purpose": "LOCATION",
"city": "Riverton",
"state": "UT",
"postal_code": "840657215",
"country_code": "US",
"telephone_number": "801-571-3081",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIMON",
"first_name": "BROOKLYN",
"middle_name": "KAYE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-25",
"last_updated": "2024-11-04",
"certification_date": "2024-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "UT",
"license": "137523844201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lehi, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.