Individual provider Active NPI

Sirley Ediae, OT

  • Occupational Therapist
  • Jersey Village, TX
National Provider Identifier
1194698027
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
116970 Issued in TX
Practice address
20320 Northwest Fwy Ste 400a
Jersey Village, TX 77065-5620
Phone
(725) 209-3053
Fax
(855) 927-7788
NPI assigned
Sep 26, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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 116970 TX Primary

Addresses

Primary practice location

20320 Northwest Fwy Ste 400a
Jersey Village, TX 77065-5620

Mailing address

10680 Medlock Bridge Rd Ste 101
Johns Creek, GA 30097-8420
Phone (725) 209-3053

Other practice location 1

300B Princeton Hightstown Rd Ste 202
East Windsor, NJ 08520-1400
Phone (725) 209-3053

Other practice location 2

34 Upper Riverdale Rd SE Ste 101
Riverdale, GA 30274-2635
Phone (725) 209-3053

Other practice location 3

5809 W Modoc Ave
Visalia, CA 93291-8527
Phone (725) 209-3053

Other practice location 4

5852 Corral Way
LA Jolla, CA 92037-7423
Phone (725) 209-3053

Other practice location 5

101 Convention Center Dr Ste 900
Las Vegas, NV 89109-2039
Phone (725) 209-3053

Other practice location 6

925 N La Brea Ave Fl 4
West Hollywood, CA 90038-3161
Phone (725) 209-3053

Other practice location 7

6881 Kingspointe Pkwy Ste 2
Orlando, FL 32819-6536
Phone (725) 209-3053

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, TX, FL, CA, NV, NJ, OH7 enrollments

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
I20251110003530 PA Practitioner - Occupational Therapist in Private Practice 6901396654 Reassigns benefits to 1 organization
I20251110003632 TX Practitioner - Occupational Therapist in Private Practice 6901396654 Reassigns benefits to 1 organization
I20251117000720 FL Practitioner - Occupational Therapist in Private Practice 6901396654 Reassigns benefits to 1 organization
I20251120002714 CA Practitioner - Occupational Therapist in Private Practice 6901396654 Reassigns benefits to 1 organization
I20251120004231 NV Practitioner - Occupational Therapist in Private Practice 6901396654
I20260204001022 NJ Practitioner - Occupational Therapist in Private Practice 6901396654 Reassigns benefits to 1 organization
I20260409000251 OH Practitioner - Occupational Therapist in Private Practice 6901396654 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Telehealth Clinical Evals LLCGroup PAC ID 2860816725, 10 clinicians

Practice addresses (Care Compare)

Plymouth Meeting, PA 19462
Phone (702) 303-4220

Orlando, FL 32819
Phone (702) 303-4220

Jersey Village, TX 77065
Phone (725) 209-3053

West Hollywood, CA 90038
Phone (725) 309-3053

10 N High St
Suite 200
Columbus, OH 43215-3497
Phone (725) 209-3053

300 B Princeton Hightstown Rd
Suite 202
East Windsor, NJ 08520-1400
Phone (702) 303-4220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28377CAMDPharmacist
116970TXMDOccupational Therapist
116920TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
RFH Orlando LLC CurrentSince Nov 5, 2025 Accepting new patients

Locations

6881 Kingspointe Pkwy
Ste 2
Orlando, FL 32819
Phone (407) 412-5600

10680 Medlock Bridge Rd
Ste 101
Johns Creek, GA 30097

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": "1758844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1194698027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10680 MEDLOCK BRIDGE RD STE 101",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300978420",
            "telephone_number": "725-209-3053",
            "fax_number": "855-927-7788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20320 NORTHWEST FWY STE 400A",
            "city": "JERSEY VILLAGE",
            "state": "TX",
            "postal_code": "770655620",
            "telephone_number": "725-209-3053",
            "fax_number": "855-927-7788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300B Princeton Hightstown Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "East Windsor",
            "state": "NJ",
            "postal_code": "085201400",
            "country_code": "US",
            "telephone_number": "725-209-3053",
            "fax_number": "855-927-7788",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "34 Upper Riverdale Rd SE Ste 101",
            "address_purpose": "LOCATION",
            "city": "Riverdale",
            "state": "GA",
            "postal_code": "302742635",
            "country_code": "US",
            "telephone_number": "725-209-3053",
            "fax_number": "855-927-7788",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5809 W Modoc Ave",
            "address_purpose": "LOCATION",
            "city": "Visalia",
            "state": "CA",
            "postal_code": "932918527",
            "country_code": "US",
            "telephone_number": "725-209-3053",
            "fax_number": "855-927-7788",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5852 Corral Way",
            "address_purpose": "LOCATION",
            "city": "LA Jolla",
            "state": "CA",
            "postal_code": "920377423",
            "country_code": "US",
            "telephone_number": "725-209-3053",
            "fax_number": "855-927-7788",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Convention Center Dr Ste 900",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891092039",
            "country_code": "US",
            "telephone_number": "725-209-3053",
            "fax_number": "855-927-7788",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "925 N La Brea Ave Fl 4",
            "address_purpose": "LOCATION",
            "city": "West Hollywood",
            "state": "CA",
            "postal_code": "900383161",
            "country_code": "US",
            "telephone_number": "725-209-3053",
            "fax_number": "855-927-7788",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6881 Kingspointe Pkwy Ste 2",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328196536",
            "country_code": "US",
            "telephone_number": "725-209-3053",
            "fax_number": "855-927-7788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDIAE",
        "first_name": "SIRLEY",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-26",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "116970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey Village, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; 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.