Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Detra Shauntel Simpo, OTR/L

Individual provider Occupational Therapist · NPI 1710071220

Detra Shauntel Simpo, OTR/L is an Occupational Therapist in St Johns, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2006
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

518 Dry Branch Way
St Johns, FL 32259-6203
Phone: (904) 382-7886
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT9940 (FL)

Record details

NPI number1710071220
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorYes
NPI enumeratedOctober 2, 2006
Last updated in NPPESSeptember 1, 2020
Certification dateSeptember 1, 2020

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