Active NPI
Sydney R Alexander
- Occupational Therapist
- Wausau, WI
National Provider Identifier
1124689104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 333 Pine Ridge Blvd
Wausau, WI 54401 - Phone
- (283) 800-2881
- NPI assigned
- Jun 21, 2019
- Last updated
- Feb 15, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | ND | ||
| Occupational Therapist | 225X00000X | NU | Primary | |
| Case Manager/Care Coordinator | 171M00000X | NU |
Addresses
Primary practice location
333 Pine Ridge Blvd
Wausau, WI 54401
Mailing address
1015 S Broadway Ste 18
Minot, ND 58701-4667
Phone (701) 857-8500
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707955200000",
"number": "1124689104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1015 S BROADWAY STE 18",
"city": "MINOT",
"state": "ND",
"postal_code": "587014667",
"telephone_number": "701-857-8500",
"fax_number": "701-857-8555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 PINE RIDGE BLVD",
"city": "WAUSAU",
"state": "WI",
"postal_code": "54401",
"telephone_number": "283-800-2881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEXANDER",
"first_name": "SYDNEY",
"middle_name": "R",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-21",
"last_updated": "2024-02-15",
"certification_date": "2024-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "ND",
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wausau, WI
- Diane Mary Alber, NP
- Philip Richard Albert, M.D.
- Charles R. Alden, M.D.
- Kay Aldrian, RN
- Ronald Alexander, CADC III
- Robert John Alexejun, O.D.
- All Seasons Counseling LLC
- Patrick M Allen, DO
- Allied Health Chiropractic Centers
- Allied Health Chiropractic Centers of Il, LLC (Allied Health Chiropractic Centers)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.