MS. MICHELLE LYNNE SIMPSON OTR
NPI 1700973393
Occupational Therapist - Pediatrics in Austin, TX
NPI Status: Active since October 06, 2006
Contact Information
9101 BURNET RD STE 103
AUSTIN, TX
ZIP 78758
Phone: (512) 248-2422
Fax: (512) 248-2354
- Individual
- Female
- Years of Experience 24
- Occupational Therapist
- Pediatrics
- Accepts Insurance
- Accepts Medicare Approved Payment
About MICHELLE SIMPSON
This page provides the complete NPI Profile along with additional information for Michelle Simpson, a provider established in Austin, Texas with a medical specialization in Occupational Therapist, focusing in pediatrics and more than 24 years of experience. The healthcare provider is registered in the NPI registry with number 1700973393 assigned on October 2006. The practitioner's primary taxonomy code is 225XP0200X with license number 110642 (TX). The provider is registered as an individual and her NPI record was last updated 18 years ago.
- NPI
- 1700973393
- Provider Name
- MS. MICHELLE LYNNE SIMPSON OTR
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 9101 BURNET RD STE 103 AUSTIN, TX 78758
- Location Phone
- (512) 248-2422
- Location Fax
- (512) 248-2354
- Mailing Address
- 12708 RIATA VISTA CIR STE A-126 AUSTIN, TX 78727
- Mailing Phone
- (512) 637-2002
- Mailing Fax
- (512) 248-2354
- Medical School Name
- OTHER
- Graduation Year
- 2002
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-06-2006
- Last Update Date
- 07-08-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Occupational Therapist Pediatrics
- Taxonomy Code
- 225XP0200X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- 110642
- License State
- TX
- Taxonomy Description
- Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or occupations. Occupational therapists use their unique expertise to help children with social-emotional, physical, cognitive, communication, and adaptive behavioral challenges and to help children to be prepared for and perform important learning and school-related activities and to fulfill their rule as students. Through an understanding of the impact of disability, illness, and impairment on a child's development, plan, ability to learn new skills, and overall occupational performance, occupational therapists design interventions that promote healthy development, establish needed skills, and/or modify environments, all in support of participation in daily activities.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
- Blue Advantage Plus Gold? 803 - POS
- Blue Advantage Plus Gold? Standard - POS
- Blue Advantage Plus Silver? 202 - POS
- Blue Advantage Plus Silver? 605 - POS
- Blue Advantage Plus Silver? Standard - POS
- Blue Advantage Security HMO? 200 - HMO
- Blue Advantage Silver HMO? 205 - HMO
- Blue Advantage Silver HMO? 801 - HMO
- Blue Advantage Silver HMO? Standard - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Michelle Simpson is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 8729447651
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20230710002304
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 0 | 0 | 9 | 7 | 3 | 3 | 9 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 0 | 0 | 18 | 7 | 6 | 3 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 0 + 0 + 1 + 8 + 7 + 6 + 3 + 1 + 8 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1700973393 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1518974344 | AMANDA MAY PT Individual | Physical Therapist (Pediatrics) | 9101 BURNET RD STE 103 AUSTIN, TX 78758 (512) 248-2248 |
| 1649287418 | MELISSA DORR PT Individual | Physical Therapist (Pediatrics) | 9101 BURNET RD STE 103 AUSTIN, TX 78758 (512) 248-2422 |
| 1730196536 | CAROLE GARRETT PT Individual | Physical Therapist (Pediatrics) | 9101 BURNET RD STE 103 AUSTIN, TX 78758 (512) 248-2422 |
| 1073520888 | KIMBERLY HELLER PT Individual | Physical Therapist (Pediatrics) | 9101 BURNET RD STE 103 AUSTIN, TX 78758 (512) 248-2422 |
| 1528075637 | JOANN GANCI COTA Individual | Occupational Therapy Assistant | 9101 BURNET RD STE 103 AUSTIN, TX 78758 (512) 248-2422 |
| 1518974658 | MARY KAY KEMPER OT Individual | Occupational Therapist (Pediatrics) | 9101 BURNET RD STE 103 AUSTIN, TX 78758 (512) 248-2422 |
| 1922015759 | SUSAN ROBIN OT Individual | Occupational Therapist (Pediatrics) | 9101 BURNET RD STE 103 AUSTIN, TX 78758 (512) 248-2248 |
| 1124035951 | MARY ELIZABETH PARKER PT Individual | Physical Therapist (Pediatrics) | 9101 BURNET RD STE 103 AUSTIN, TX 78758 (512) 248-2248 |
| 1215945860 | CASSANDRA BURT COTA Individual | Occupational Therapy Assistant | 9101 BURNET RD STE 103 AUSTIN, TX 78758 (512) 248-2422 |
| 1164430724 | JULIET DONOHUE OT Individual | Occupational Therapist (Pediatrics) | 9101 BURNET RD STE 103 AUSTIN, TX 78758 (512) 248-2422 |
| 1356358964 | SUSANA ALYSON SHIREY OT Individual | Occupational Therapist (Pediatrics) | 9101 BURNET RD STE 103 AUSTIN, TX 78758 (512) 248-2422 |
| 1134136765 | GIL GONZALEZ PTA Individual | Physical Therapy Assistant | 9101 BURNET RD STE 103 AUSTIN, TX 78758 (512) 248-2422 |
| 1255349841 | AMANDA TUCKER SLP Individual | Speech-Language Pathologist | 9101 BURNET RD STE 103 AUSTIN, TX 78758 (512) 248-2422 |
| 1205849536 | STEPHANIE SHEEHY SLP Individual | Speech-Language Pathologist | 9101 BURNET RD STE 103 AUSTIN, TX 78758 (512) 248-2248 |
| 1689769317 | MS. LESLIE SMART OTR Individual | Occupational Therapist | 9101 BURNET RD STE 103 AUSTIN, TX 78758 (512) 248-2422 |
| 1285721852 | MS. JANE MARILYN LIONBERGER PT Individual | Physical Therapist (Pediatrics) | 9101 BURNET RD STE 103 AUSTIN, TX 78758 (512) 248-2422 |
| 1902993553 | MS. KATIE ELIZABETH NAVARRO PT Individual | Physical Therapist (Pediatrics) | 9101 BURNET RD STE 103 AUSTIN, TX 78758 (512) 248-2422 |
| 1740364744 | MS. KATHRYN MARSHALL-CUMMINGS PT Individual | Physical Therapist (Pediatrics) | 9101 BURNET RD STE 103 AUSTIN, TX 78758 (512) 248-2422 |
| 1982764098 | MS. RACHEL E SCMALE OT Individual | Occupational Therapist (Pediatrics) | 9101 BURNET RD STE 103 AUSTIN, TX 78758 (512) 248-2422 |
| 1730216219 | MRS. ANNA ELISE WALL SLP Individual | Speech-Language Pathologist | 9101 BURNET RD STE 103 AUSTIN, TX 78758 (512) 248-2422 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700973393, enumerated in the NPI registry as an "individual" on October 06, 2006
The provider is located at 9101 Burnet Rd Ste 103 Austin, Tx 78758 and the phone number is (512) 248-2422
The provider's speciality is Occupational Therapist with taxonomy code 225XP0200X with a focus in Pediatrics
The provider has more than 24 years of experience.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on October 06, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.