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Detra Shauntel Simpo , OTR, L

Occupational Therapist β€’ St Johns, FL

Active NPI 1710071220 Individual Practitioner Female Practitioner
Practice location in NPPES

518 Dry Branch Way
St Johns, FL 322596203

Call 9043827886 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

518 Dry Branch Way

St Johns, FL 322596203

Telephone 9043827886

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Compared with the same specialty in St Johns and Florida

4 active clinicians are listed under Occupational Therapist with a practice address in St Johns, FL (8,044 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-09-01
Occupational Therapist Primary Specialty

NUCC Taxonomy Code: 225X00000X

License # reported to NPPES FL OT9940

An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
024815600 (FL)
Other Identifier Bcbs
Z9346 (FL)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location September 01, 2020

Registered at 518 DRY BRANCH WAY, ST JOHNS, FL 322596203 (Tel: 9043827886)

πŸ“
Updated Practice Location June 05, 2020

Registered at 1000 W BROADWAY ST, STE 214, OVIEDO, FL 327652962 (Tel: 4073595693)

πŸ“
Updated Business Mailing Address June 05, 2020

Registered at 518 DRY BRANCH WAY, ST JOHNS, FL 322596203 (Tel: 9043827886)

βœ…
NPI Profile Active July 16, 2007

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 16, 2007

Registered at 880 A1A N, STE 18A, PONTE VEDRA BEACH, FL 32082 (Tel: 9047787501)

πŸ“
Business Mailing Address (Initial Record) July 16, 2007

Registered at PO BOX 48116, JACKSONVILLE, FL 32247 (Tel: 9047251657)

πŸ‘€
Provider Name / Credentials (Initial Record) July 16, 2007

Recorded as DETRA SIMPO, OTR/L

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 16, 2007

Occupational Therapist (license number reported to NPPES: FL OT9940)

🟒
Initial NPI Registration & Enumeration October 02, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1710071220
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 02, 2006
Last Update: September 01, 2020
Sole Proprietor: Yes

Mailing Address

518 Dry Branch Way

St Johns, FL 322596203

Phone: 9043827886

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.