Individual provider Active NPI

Sydney Lane

  • Occupational Therapy Assistant
  • Oklahoma City, OK
National Provider Identifier
1003567272
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OA2378 Issued in OK
Practice address
11900 N Macarthur Blvd Ste B
Oklahoma City, OK 73162-1860
Phone
(405) 464-9595
Fax
(405) 493-6787
NPI assigned
Jan 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OA2378 OK Primary

Addresses

Primary practice location

11900 N Macarthur Blvd Ste B
Oklahoma City, OK 73162-1860

Mailing address

11900 N Macarthur Blvd Ste B
Oklahoma City, OK 73162-1860
Phone (405) 464-9595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OA2378OKMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Speech Heart Services CurrentSince Jan 21, 2022 Accepting new patients
Aky MD, LLC PastSince Jan 21, 2022 Accepting new patients

Locations

11900 N MacArthur Blvd
Ste B
Oklahoma City, OK 73162
Phone (405) 464-9595

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.973232

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1003567272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11900 N MACARTHUR BLVD STE B",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731621860",
            "telephone_number": "405-464-9595",
            "fax_number": "405-493-6787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11900 N MACARTHUR BLVD STE B",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731621860",
            "telephone_number": "405-464-9595",
            "fax_number": "405-493-6787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "SYDNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-10",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OK",
            "license": "OA2378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.