Active NPI
Amber V Simpson, COTA/L
- Occupational Therapy Assistant
- Saint Louis, MO
National Provider Identifier
1861151557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 2021027880
- Practice address
- 230 S Brentwood Blvd
Saint Louis, MO 63105-1602 - Phone
- (314) 725-4404
- NPI assigned
- Dec 10, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 2021027880 | MO | Primary |
Addresses
Primary practice location
230 S Brentwood Blvd
Saint Louis, MO 63105-1602
Mailing address
2057 Monks Hollow Dr
Florissant, MO 63031-2037
Phone (314) 820-9289
Other practice location 1
2057 Monks Hollow Dr
Florissant, MO 63031-2037
Phone (314) 820-9289
Other practice location 2
14709 Olive Blvd
Chesterfield, MO 63017-2221
Phone (314) 317-5700
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 |
|---|---|---|---|
| 2021027880 | MO | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639094400000",
"number": "1861151557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2057 MONKS HOLLOW DR",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630312037",
"telephone_number": "314-820-9289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 S BRENTWOOD BLVD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631051602",
"telephone_number": "314-725-4404"
}
],
"practiceLocations": [
{
"address_1": "2057 Monks Hollow Dr",
"address_purpose": "LOCATION",
"city": "Florissant",
"state": "MO",
"postal_code": "630312037",
"country_code": "US",
"telephone_number": "314-820-9289",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14709 Olive Blvd",
"address_purpose": "LOCATION",
"city": "Chesterfield",
"state": "MO",
"postal_code": "630172221",
"country_code": "US",
"telephone_number": "314-317-5700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIMPSON",
"first_name": "AMBER",
"middle_name": "V",
"credential": "COTA/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-10",
"last_updated": "2021-12-10",
"certification_date": "2021-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapy Assistant",
"state": "MO",
"license": "2021027880",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.