Individual provider Active NPI

Sydney Kathryn Fleege, OTR/L

  • Occupational Therapist
  • Colorado Springs, CO
National Provider Identifier
1114564390
Registry record updated Dec 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT.0005315 Issued in CO
Practice address
7873 Lightwood Way
Colorado Springs, CO 80908-5635
Phone
(312) 342-9064
NPI assigned
Dec 5, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT.0005315 CO Primary

Addresses

Primary practice location

7873 Lightwood Way
Colorado Springs, CO 80908-5635

Mailing address

7873 Lightwood Way
Colorado Springs, CO 80908-5635
Phone (312) 342-9064

Other practice location 1

6959 Ketchum Dr
Colorado Springs, CO 80911-9406
Phone (312) 342-9064

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT.0005315COMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1575504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575504000000",
    "number": "1114564390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7873 LIGHTWOOD WAY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809085635",
            "telephone_number": "312-342-9064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7873 LIGHTWOOD WAY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809085635",
            "telephone_number": "312-342-9064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6959 Ketchum Dr",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809119406",
            "country_code": "US",
            "telephone_number": "312-342-9064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLEEGE",
        "first_name": "SYDNEY",
        "middle_name": "KATHRYN",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-05",
        "last_updated": "2019-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "OT.0005315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2019; 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.