Sydney E Alino, OTR/L

Individual provider Active NPI Occupational Therapist · Crestview, FL

NPI 1205436458 · NPPES record last updated Oct 3, 2023

Key facts

NPI
1205436458
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
056013892 (IL)
Practice address
601 N Pearl St
Crestview, FL 32536-2749
Phone
(850) 741-6715
Fax
(850) 204-0489
NPI assigned
Oct 27, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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.

Medicare Care Compare profile

Specialty
Occupational Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inher Physique LLC (4 clinicians)

Practice addresses (Care Compare)

1108 Airport Blvd
Suite C
Pensacola, FL 32504-8623
Phone (850) 483-0586

Medicare participation

Medicare fee-for-service enrollment
Enrolled in FL

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20231010003113 FL Practitioner - Occupational Therapist in Private Practice 3072968106 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
056013892ILMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Inher Physique LLC Current
since Oct 16, 2024
Accepting new patients
Inher Physique LLC Current
since Oct 16, 2024
Accepting new patients
Rehabcare Group East, LLC Past Accepting new patients

Locations

1108 Airport Blvd
Ste C
Pensacola, FL 32504
Phone (850) 450-2081

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 056013892 IL Yes

Addresses

Primary practice location

601 N Pearl St
Crestview, FL 32536-2749

Mailing address

922 E Bobe St
Pensacola, FL 32503-3962
Phone (850) 741-6715

Other practice location 1

5533 N Galena Rd
Peoria Heights, IL 61616-4447
Phone (309) 682-5428

Other names

  • Sydney E Paw Former name

Other providers in Crestview, FL

All providers in Crestview, FL · Occupational Therapist in Florida

Sources for this page

Verify at the official NPI Registry.