Courtney Megan Sidebottom, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

163850 Issued in KY

Practice address

2701 Chestnut Station CT
Louisville, KY 40299-6395

Phone

(800) 335-1060

NPI assigned

Aug 16, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1104592666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 MALLARDS CV",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400045738",
            "telephone_number": "502-689-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 CHESTNUT STATION CT",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402996395",
            "telephone_number": "800-335-1060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDEBOTTOM",
        "first_name": "COURTNEY",
        "middle_name": "MEGAN",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-16",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "KY",
            "license": "163850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Siddiqui MD & Associates PSC
• Arifa Siddiqui, M.D.
• Nasiruddin A Siddiqui, M.D.
• Saif Siddiqui
• Seher Siddiqui, MD
• Margaret Sidebottom, PHARMD, MBA, BCPS
• Jessie Sides
• Jasdeep Singh Sidhu
• Heather Sieber, MSW
• Michelle Siebert, PT, MPT

• All providers in Louisville, KY
• Occupational Therapy Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; 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.