Simon A Carson, MBA, OT/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

012123 Issued in NY

Practice address

601 Elmwood Ave # 664
Rochester, NY 14642-0001

Phone

(585) 275-1715

NPI assigned

Nov 26, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Business Administration

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

{
    "created_epoch": "1574726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1760028690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE # 664",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-275-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE # 664",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-275-1715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARSON",
        "first_name": "SIMON",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "MBA, OT/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-26",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "012123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "simon_carson@urmc.rochester.edu",
            "affiliation": "Y",
            "endpointDescription": "work email",
            "affiliationName": "University of Rochester Medical Center",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "601 Elmwood Avenue, Box 704",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "14642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Klara Lee Carson, N.D.
• Mary Veronica Carson, MS, FNP-C, CHNP
• Michelle Carson, LCSW
• Miriam E Carson, OTR/L
• Sheri Carson, LMSW
• Edward Donald Carswell, LPN-NURSE
• Lydia Cartagena, LMHC
• Deanna Cartenuto, RPH
• Diamond V Carter
• Donyell Michelle Carter, COTA/L

• Occupational Therapist in Rochester, NY
• Providers in Rochester, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.