Individual provider Active NPI

Courtnee Simone Simmons, OTR

  • Occupational Therapist
  • Avondale, AZ
National Provider Identifier
1891557930
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
009437 Issued in AZ
Practice address
2635 N Dysart Rd
Avondale, AZ 85392-2001
Phone
(301) 502-1690
NPI assigned
Jan 24, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 009437 AZ Primary

Addresses

Primary practice location

2635 N Dysart Rd
Avondale, AZ 85392-2001

Mailing address

6400 Avalon Blvd
Avon, IN 46123-7177
Phone (317) 956-9025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240213003479 AZ Practitioner - Occupational Therapist in Private Practice 1355784745 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empowerme Rehabilitation LLCGroup PAC ID 2769723162, 423 clinicians

Practice addresses (Care Compare)

9000 E San Victor Dr
Scottsdale, AZ 85258-5051
Phone (623) 299-7784

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009437AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aegis Group Practice LLC Occupational Therapist CurrentSince Mar 7, 2025 Accepting new patients
Aegis Group Practice LLC Occupational Therapist Current Accepting new patients
Empowerme Rehabilitation, LLC Occupational Therapist CurrentSince Jan 30, 2024 Accepting new patients
Aegis Group Practice LLC Occupational Therapist CurrentSince Mar 7, 2025 Accepting new patients
Empowerme Rehabilitation, LLC Occupational Therapist CurrentSince Jan 30, 2024 Accepting new patients

Locations

4933 Old Greenwood Rd
Fort Smith, AR 72903

2635 N Dysart Rd
Avondale, AZ 85392
Phone (623) 237-3440

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

Organizations & group practices 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1891557930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 AVALON BLVD",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461237177",
            "telephone_number": "317-956-9025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2635 N DYSART RD",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853922001",
            "telephone_number": "301-502-1690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "COURTNEE",
        "middle_name": "SIMONE",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "009437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avondale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.