Individual provider Active NPI

Sydney Elizabeth Tymula, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Charlotte, NC
National Provider Identifier
1114624863
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
30001477 Issued in NC
Practice address
7500 E Independence Blvd Ste 101
Charlotte, NC 28227-9482
Phone
(980) 486-8289
NPI assigned
Feb 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 30001477 NC Primary
Speech-Language Pathologist 235Z00000X 032637 NY

Addresses

Primary practice location

7500 E Independence Blvd Ste 101
Charlotte, NC 28227-9482

Mailing address

2010 N Brevard St Apt 357
Charlotte, NC 28206-3931
Phone (518) 944-9095

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
30001477NCMDSpeech-Language Pathologist
032637NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Handprints and Footsteps Pediatric Therapy, LLC PastSince Feb 1, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1114624863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 N BREVARD ST APT 357",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282063931",
            "telephone_number": "518-944-9095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 E INDEPENDENCE BLVD STE 101",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282279482",
            "telephone_number": "980-486-8289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYMULA",
        "first_name": "SYDNEY",
        "middle_name": "ELIZABETH",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-13",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "30001477",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "032637",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; 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.