Active NPI
Siena Gwandure
- Neurorehabilitation Occupational Therapist
- Fishers, IN
National Provider Identifier
1114395902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurorehabilitation Occupational Therapist
- License
- 057002938
- Practice address
- 7710 Jamestown North Dr
Fishers, IN 46038-1942 - Phone
- (847) 845-7704
- NPI assigned
- Sep 10, 2015
- 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 |
|---|---|---|---|---|
| Neurorehabilitation Occupational Therapist | 225XN1300X | 057002938 | IL | Primary |
Addresses
Primary practice location
7710 Jamestown North Dr
Fishers, IN 46038-1942
Mailing address
7710 Jamestown North Dr
Fishers, IN 46038-1942
Phone (847) 845-7704
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 |
|---|---|---|---|
| 057002938 | IL | MD | Neurorehabilitation Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441843200000",
"number": "1114395902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7710 JAMESTOWN NORTH DR",
"city": "FISHERS",
"state": "IN",
"postal_code": "460381942",
"telephone_number": "847-845-7704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7710 JAMESTOWN NORTH DR",
"city": "FISHERS",
"state": "IN",
"postal_code": "460381942",
"telephone_number": "847-845-7704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GWANDURE",
"first_name": "SIENA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-10",
"last_updated": "2015-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "225XN1300X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Neurorehabilitation",
"state": "IL",
"license": "057002938",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fishers, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.