Provider Demographics
NPI:1538794482
Name:SIMSAR, ARAM GREGORY (OTR)
Entity type:Individual
Prefix:MR
First Name:ARAM
Middle Name:GREGORY
Last Name:SIMSAR
Suffix:
Gender:M
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 W COURT ST
Mailing Address - Street 2:
Mailing Address - City:BEATRICE
Mailing Address - State:NE
Mailing Address - Zip Code:68310-3526
Mailing Address - Country:US
Mailing Address - Phone:402-910-5008
Mailing Address - Fax:
Practice Address - Street 1:900 W COURT ST
Practice Address - Street 2:
Practice Address - City:BEATRICE
Practice Address - State:NE
Practice Address - Zip Code:68310-3526
Practice Address - Country:US
Practice Address - Phone:402-910-5008
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-10
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZOTH-008026225X00000X
NE2693225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist