Individual provider Active NPI

Sydney Elizabeth Orr, OTR/L, OTD

  • Occupational Therapist
  • Plymouth, MN
National Provider Identifier
1184301632
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
3021 Harbor LN N Ste 120
Plymouth, MN 55447-5141
Phone
(651) 773-0354
NPI assigned
Jun 28, 2023
Last updated
Jun 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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 NU Primary

Addresses

Primary practice location

3021 Harbor LN N Ste 120
Plymouth, MN 55447-5141

Mailing address

16255 Kenyon Ave Apt 116
Lakeville, MN 55044-4814
Phone (507) 210-8963

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230906001488 MN Practitioner - Occupational Therapist in Private Practice 7810350097 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Theraplay, LLC CurrentSince Jul 11, 2023 Accepting new patients
Associated Speech and Language Specialists LLC PastSince Jul 2, 2023 Accepting new patients

Locations

3021 Harbor Ln N
Ste 120
Plymouth, MN 55447
Phone (651) 773-0354

2399 Ariel St N
Ste A
Saint Paul, MN 55109
Phone (651) 773-0354

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1687910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1184301632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16255 KENYON AVE APT 116",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550444814",
            "telephone_number": "507-210-8963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3021 HARBOR LN N STE 120",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554475141",
            "telephone_number": "651-773-0354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORR",
        "first_name": "SYDNEY",
        "middle_name": "ELIZABETH",
        "credential": "OTR/L, OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-28",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.