Individual provider Active NPI

Hailey Ashlyn Simpkins, PTA

  • Physical Therapy Assistant
  • Odessa, TX
National Provider Identifier
1922614833
Registry record updated Sep 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2147922 Issued in TX
Practice address
2760 N Grandview Ave Ste a
Odessa, TX 79762-6953
Phone
(432) 552-7034
Fax
(432) 552-7165
NPI assigned
Sep 17, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2147922 TX Primary

Addresses

Primary practice location

2760 N Grandview Ave Ste a
Odessa, TX 79762-6953

Mailing address

2760 N Grandview Ave Ste a
Odessa, TX 79762-6953
Phone (432) 552-7034

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

LicenseStateTypeSpecialty
2147922TXMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Optimus Physical Therapy and Orthosport Specialists PLLC CurrentSince Sep 20, 2020 Accepting new patients
Joanna Lynn Riley PastSince Sep 20, 2020 Accepting new patients

Locations

2760 N Grandview Ave
Ste A
Odessa, TX 79762
Phone (432) 552-7034

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1600300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1922614833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2760 N GRANDVIEW AVE STE A",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797626953",
            "telephone_number": "432-552-7034",
            "fax_number": "432-552-7165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2760 N GRANDVIEW AVE STE A",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797626953",
            "telephone_number": "432-552-7034",
            "fax_number": "432-552-7165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPKINS",
        "first_name": "HAILEY",
        "middle_name": "ASHLYN",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-17",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2147922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; 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.