Individual provider Active NPI

Nancy Ann Hanks Simmons, OTR

  • Occupational Therapist
  • Centralia, IL
National Provider Identifier
1841320686
Registry record updated May 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056003582 Issued in IL
Practice address
43 Woods LN
Centralia, IL 62801-6239
Phone
(618) 214-0371
NPI assigned
Mar 7, 2007
Last updated
May 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X NU
Occupational Therapist 225X00000X 056003582 IL Primary

Addresses

Primary practice location

43 Woods LN
Centralia, IL 62801-6239

Mailing address

43 Woods LN
Centralia, IL 62801-6239
Phone (618) 214-0371

Other practice location 1

2950 E Snapshot Rd
Woodlawn, IL 62898-3325
Phone (618) 214-0371

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

LicenseStateTypeSpecialty
056003582ILMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Skills 4 Life OT, LLC Occupational Therapist Current Accepting new patients
Martin County Urgent Care LLC CurrentSince Aug 13, 2023 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558569600000",
    "number": "1841320686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 WOODS LN",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "628016239",
            "telephone_number": "618-214-0371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 WOODS LN",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "628016239",
            "telephone_number": "618-214-0371"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2950 E Snapshot Rd",
            "address_purpose": "LOCATION",
            "city": "Woodlawn",
            "state": "IL",
            "postal_code": "628983325",
            "country_code": "US",
            "telephone_number": "618-214-0371",
            "fax_number": "618-735-2912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "NANCY",
        "middle_name": "ANN HANKS",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2019-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056003582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centralia, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; 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.