Martha C Simmons, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

748 Issued in NC

Practice address

4505 Shattalon Dr
Winston Salem, NC 27106-2001

Phone

(336) 924-9309

NPI assigned

Sep 24, 2007

Last updated

Sep 24, 2007By the provider in NPPES

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

Other identifiers 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Simmons Therapy Associates PLLC

  • Early Intervention Provider Agency
  • Winston Salem, NC
  • NPI 1285917302
  NPD (past) Authorized official

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190592000000",
    "number": "1982890828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "193 WOODBURN PL",
            "city": "ADVANCE",
            "state": "NC",
            "postal_code": "270069456",
            "telephone_number": "336-287-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 SHATTALON DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271062001",
            "telephone_number": "336-924-9309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "MARTHA",
        "middle_name": "C",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-24",
        "last_updated": "2007-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7301934",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Bowman Simerson, FNP
• Simmons Therapy Associates PLLC
• Ivory Simmons
• Jennifer Snead Simmons, RN, MSN, CPNP, CPON
• Katelyn Falgout Simmons, MD
• Melissa Simmons
• Sarah Stewart Simmons, NP
• Tony Simmons, MD
• Trevon Maurice Simmons
• Wilson Frederick Simmons, DDS

• Occupational Therapist in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.

Verify at the official NPI Registry.