Organization Active NPI

Lindsay Stoddard Sudell OT PC

  • Physical Rehabilitation Occupational Therapist
  • Venice, CA
National Provider Identifier
1093552903
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X
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

Updated by the provider on Jul 9, 2024

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)CodeLicenseStatePrimary
Physical Rehabilitation Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Other name

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.