Individual provider Active NPI

Sydney Pearson

  • Occupational Therapy Assistant
  • West Palm Beach, FL
National Provider Identifier
1124780390
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
18530 Issued in FL
Practice address
2711 Exchange CT Ste B
West Palm Beach, FL 33409-4017
Phone
(561) 494-4499
NPI assigned
Oct 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 18530 FL Primary

Addresses

Primary practice location

2711 Exchange CT Ste B
West Palm Beach, FL 33409-4017

Mailing address

3728 NW Adriatic LN
Jensen Beach, FL 34957-3103
Phone (772) 446-2887

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

LicenseStateTypeSpecialty
18530FLMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Nisha Bhatt Inc. CurrentSince Oct 10, 2021 Accepting new patients
Nisha Bhatt Inc. PastSince Oct 10, 2021 Accepting new patients

Locations

2711 Exchange Ct
Ste B
West Palm Beach, FL 33409

Organizations & group practices 2

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": "1633478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1124780390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3728 NW ADRIATIC LN",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349573103",
            "telephone_number": "772-446-2887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 EXCHANGE CT STE B",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334094017",
            "telephone_number": "561-494-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "SYDNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-06",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "18530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; 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.