Active NPI
Sarah Ann Sydor, ATC/L
- Athletic Trainer
- Decatur, IL
National Provider Identifier
1023023512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 815
- Practice address
- 2122 N 27TH St
Decatur, IL 62526-2191 - Phone
- (217) 876-4975
- NPI assigned
- Jul 31, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 815 | TN | Primary |
Addresses
Primary practice location
2122 N 27TH St
Decatur, IL 62526-2191
Mailing address
1001 Pomona Dr
Champaign, IL 61822-1859
Phone (217) 418-9467
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
| License | State | Type | Specialty |
|---|---|---|---|
| 815 | TN | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Decatur Memorial Hospital | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Multi-Specialty Clinic/Center
- Decatur, IL
- NPI 1477276301
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325116800000",
"number": "1023023512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 POMONA DR",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618221859",
"telephone_number": "217-418-9467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2122 N 27TH ST",
"city": "DECATUR",
"state": "IL",
"postal_code": "625262191",
"telephone_number": "217-876-4975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SYDOR",
"first_name": "SARAH",
"middle_name": "ANN",
"credential": "ATC/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-31",
"last_updated": "2011-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TN",
"license": "815",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Decatur, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.