Active NPI
Lisa D Simas, OTR
- Occupational Therapist
- Walpole, MA
National Provider Identifier
1851419360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 6304
- Practice address
- 160 Main St
Walpole, MA 02081-4037 - Phone
- (508) 660-3080
- NPI assigned
- Mar 26, 2007
- 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 Therapist | 225X00000X | 6304 | MA | Primary |
| Occupational Therapist | 225X00000X | 1651 | NH |
Addresses
Primary practice location
160 Main St
Walpole, MA 02081-4037
Mailing address
22 Valentine Dr
Norfolk, MA 02056-1604
Phone (774) 847-9271
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 |
|---|---|---|---|
| 6304 | MA | MD | Mental Health Counselor |
| 1651 | NH | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851419360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 VALENTINE DR",
"city": "NORFOLK",
"state": "MA",
"postal_code": "020561604",
"telephone_number": "774-847-9271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 MAIN ST",
"city": "WALPOLE",
"state": "MA",
"postal_code": "020814037",
"telephone_number": "508-660-3080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMAS",
"first_name": "LISA",
"middle_name": "D",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "6304",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NH",
"license": "1651",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walpole, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.