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

Jack Simonsen

Individual provider Occupational Therapist · NPI 1972971745

Jack Simonsen is an Occupational Therapist in Burnsville, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2015

Practice location Address checks out

2029 Southcross Dr W Apt 308
Burnsville, MN 55306-7929
Phone: (952) 239-0637
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 104750 (MN)

Record details

NPI number1972971745
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 9, 2015
Last updated in NPPESSeptember 9, 2015
Mailing address2029 Southcross Dr W Apt 308, Burnsville, MN 55306-7929

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