Active NPI
Tara Lynn Simmons
- Occupational Therapy Assistant
- Reading, PA
National Provider Identifier
1710272216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OP007145
- Practice address
- 2851 Centre Ave
Reading, PA 19605-2567 - Phone
- (484) 769-6967
- NPI assigned
- Jun 13, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | TOP008292 | PA | |
| Occupational Therapy Assistant | 224Z00000X | OP007145 | PA | Primary |
Addresses
Primary practice location
2851 Centre Ave
Reading, PA 19605-2567
Mailing address
1222 Broadway Blvd
Reading, PA 19607-1708
Phone (484) 769-6967
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 |
|---|---|---|---|
| OP007145 | PA | MD | Occupational Therapy Assistant |
| TOP008292 | PA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1710272216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1222 BROADWAY BLVD",
"city": "READING",
"state": "PA",
"postal_code": "196071708",
"telephone_number": "484-769-6967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2851 CENTRE AVE",
"city": "READING",
"state": "PA",
"postal_code": "196052567",
"telephone_number": "484-769-6967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "TARA",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-13",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "PA",
"license": "TOP008292",
"primary": false
},
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "PA",
"license": "OP007145",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reading, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.