Individual provider Active NPI

Sydney Anne Peavy, OTR/L, CLT

  • Occupational Therapist
  • Asheville, NC
National Provider Identifier
1184465536
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
14209 Issued in NC
Practice address
190 Broadway St Ste 101
Asheville, NC 28801-2501
Phone
(828) 412-0908
NPI assigned
May 31, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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 14209 NC Primary

Addresses

Primary practice location

190 Broadway St Ste 101
Asheville, NC 28801-2501

Mailing address

63 Baker Ave
Asheville, NC 28806-3500
Phone (336) 710-0456

Other practice location 1

2360 Sweeten Creek Rd
Asheville, NC 28803-2030
Phone (336) 710-0456

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240918001867 NC Practitioner - Occupational Therapist in Private Practice 7214478254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thrive Therapeutics Asheville IncorporatedGroup PAC ID 6305250218, 8 clinicians

Practice addresses (Care Compare)

190 Broadway St
Suite 101
Asheville, NC 28801-2501
Phone 82827495674262

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Therapeutics Asheville Incorporated Occupational Therapist CurrentSince Sep 1, 2024 Accepting new patients

Locations

190 Broadway St
Ste 101
Asheville, NC 28801
Phone (828) 274-9567

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": "1717113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1184465536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 BAKER AVE",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288063500",
            "telephone_number": "336-710-0456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 BROADWAY ST STE 101",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288012501",
            "telephone_number": "828-412-0908"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2360 Sweeten Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288032030",
            "country_code": "US",
            "telephone_number": "336-710-0456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEAVY",
        "first_name": "SYDNEY",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "OTR/L, CLT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-31",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "14209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.