Active NPI
Lynn Bidwell, O.T.R.
- Occupational Therapist
- Syracuse, NY
National Provider Identifier
1114340932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 969365
- Practice address
- 715 East Adams Street
Suny Upstate Medical University
Syracuse, NY 13210 - Phone
- (315) 464-2302
- NPI assigned
- Jan 30, 2014
- Last updated
- Jan 30, 2014
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 969365 | NY | Primary |
Addresses
Primary practice location
715 East Adams Street
Suny Upstate Medical University
Syracuse, NY 13210
Mailing address
715 East Adams Street
Suny Upstate Medical University
Syracuse, NY 13210
Phone (315) 464-2302
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 |
|---|---|---|---|
| 969365 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391040000000",
"number": "1114340932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "715 EAST ADAMS STREET",
"address_2": "SUNY UPSTATE MEDICAL UNIVERSITY",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "13210",
"telephone_number": "315-464-2302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 EAST ADAMS STREET",
"address_2": "SUNY UPSTATE MEDICAL UNIVERSITY",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "13210",
"telephone_number": "315-464-2302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIDWELL",
"first_name": "LYNN",
"credential": "O.T.R.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-30",
"last_updated": "2014-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "969365",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.