IndividualActive
Simon Wise, COTA
NPI 1083170062 · Feeding, Eating & Swallowing Occupational Therapy Assistant · Flourtown, PA
Provider details
- NPI number
- 1083170062
- Entity type
- Individual
- Primary specialty
- Feeding, Eating & Swallowing Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
110 W Wissahickon Ave
Flourtown, PA 19031-1802
Phone: (215) 836-4179
Street-level locationGet directions
Mailing address
17 Stevens Ct
Somerdale, NJ 08083-3007
Registry dates
- Enumerated
- 2019-02-14
- Last updated
- 2019-02-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.