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

Nitin Simon, OTR/L, CLT

Individual provider Occupational Therapist · NPI 1265111744

Nitin Simon, OTR/L, CLT is an Occupational Therapist in Private Practice in Minneapolis, Minnesota. Graduated from University of Texas Medical School at San Antonio in 2014, 12 years ago. Practices as a sole proprietor. Licensed in Minnesota.

Years since qualifying
12
Trained at
University of Texas Medical School at San Antonio
Licensed in
MN
In the registry since
2023
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

800 E 28th St
Minneapolis, MN 55407-3723
Phone: (612) 863-6015
Fax: (612) 863-2758
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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 104936 (MN)

Record details

NPI number1265111744
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/L , CLT
Sole proprietorYes
NPI enumeratedJuly 12, 2023
Last updated in NPPESJuly 12, 2023
Certification dateJuly 12, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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