Amy Nichelle Simmons, MOT, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

114116 Issued in TX

Practice address

2401 Gateway Dr Ste 109
Irving, TX 75063-2743

Phone

(214) 591-0061

NPI assigned

Nov 2, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Randy L Smith Dba C&R Medical

  • Durable Medical Equipment & Medical Supplies
  • Fort Worth, TX
  • NPI 1124201629
  NPD (past)

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

{
    "created_epoch": "1351814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1942554662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 BETTE DR",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751496206",
            "telephone_number": "325-214-0716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 GATEWAY DR STE 109",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750632743",
            "telephone_number": "214-591-0061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2908 SE Loop 820",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761401019",
            "country_code": "US",
            "telephone_number": "817-590-8166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "AMY",
        "middle_name": "NICHELLE",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-02",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "114116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bo Sijuwade
• Lindsay Sikes
• James D. Sillanpaa, PT
• Evan Sterling Silverman, PTA
• Sim Souls Institute 1 Inc
• Chelsea Nicole Simmons, COTA/L
• Sierra Simmons
• Simplicity Senior Care LLC
• Ariel Joy Simpson
• Misty Wayne Simpson, RN, MSN, RNFA, ACNP-

• Occupational Therapist in Irving, TX
• Providers in Irving, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.