Active NPI
Lindsay Stoddard Sudell OT PC
- Physical Rehabilitation Occupational Therapist
- Venice, CA
National Provider Identifier
1093552903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Rehabilitation Occupational Therapist
- Legal business name
- LINDSAY STODDARD SUDELL OT PC
- Practice address
- 711 Hampton Dr
Venice, CA 90291-3018 - Phone
- (570) 575-7218
- Fax
- (212) 223-0198
- NPI assigned
- Jul 9, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Linsday Sudell, PT
- Title
- Preseident
- Phone
- (570) 575-7218
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Rehabilitation Occupational Therapist | 225XP0019X | Primary |
Addresses
Primary practice location
711 Hampton Dr
Venice, CA 90291-3018
Mailing address
711 Hampton Dr
Venice, CA 90291-3018
Phone (570) 575-7218
Other names 1
- Lindsay Stoddard Sudell OT PC
National Provider Directory
National Provider DirectoryLocations
711 Hampton Dr
Venice, CA 90291
Phone (561) 329-8500
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Occupational Therapist
- Venice, CA
- NPI 1902193931
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720483200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1720483200000",
"number": "1093552903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 HAMPTON DR",
"city": "VENICE",
"state": "CA",
"postal_code": "902913018",
"telephone_number": "570-575-7218",
"fax_number": "212-223-0198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 HAMPTON DR",
"city": "VENICE",
"state": "CA",
"postal_code": "902913018",
"telephone_number": "570-575-7218",
"fax_number": "212-223-0198"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LINDSAY STODDARD SUDELL OT PC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-09",
"last_updated": "2024-07-09",
"certification_date": "2024-07-09",
"status": "A",
"authorized_official_last_name": "SUDELL",
"authorized_official_first_name": "LINSDAY",
"authorized_official_title_or_position": "PRESEIDENT",
"authorized_official_telephone_number": "570-575-7218",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225XP0019X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Lindsay Stoddard Sudell OT PC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Venice, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.