Active NPI
Christa Rae Simmons, OT
- Neurorehabilitation Occupational Therapist
- Austin, TX
National Provider Identifier
1790861433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurorehabilitation Occupational Therapist
- License
- 106204
- Practice address
- 5555 N Lamar Blvd
Ste L 103
Austin, TX 78751-1073 - Phone
- (512) 200-2332
- Fax
- (512) 852-4557
- NPI assigned
- Oct 27, 2006
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 106204 | TX | |
| Neurorehabilitation Occupational Therapist | 225XN1300X | 106204 | TX | Primary |
Addresses
Primary practice location
5555 N Lamar Blvd
Ste L 103
Austin, TX 78751-1073
Mailing address
5555 N Lamar Blvd
Ste L 103
Austin, TX 78751-1073
Phone (512) 200-2332
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 |
|---|---|---|---|
| 106204 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357776000000",
"number": "1790861433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5555 N LAMAR BLVD",
"address_2": "STE L 103",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787511073",
"telephone_number": "512-200-2332",
"fax_number": "512-852-4557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5555 N LAMAR BLVD",
"address_2": "STE L 103",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787511073",
"telephone_number": "512-200-2332",
"fax_number": "512-852-4557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "CHRISTA",
"middle_name": "RAE",
"name_prefix": "Ms.",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-27",
"last_updated": "2013-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "TX",
"license": "106204",
"primary": false
},
{
"code": "225XN1300X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Neurorehabilitation",
"state": "TX",
"license": "106204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.