Active NPI
Sidney Pickman, OT
- Occupational Therapist
- La Grange, KY
National Provider Identifier
1205535523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 283301
- Practice address
- 4603 Timberwalk CT
La Grange, KY 40031-6746 - Phone
- (502) 235-2428
- NPI assigned
- Feb 24, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 283301 | KY | Primary |
Addresses
Primary practice location
4603 Timberwalk CT
La Grange, KY 40031-6746
Mailing address
677 Timber LN
Elizabethtown, KY 42701-8907
Phone (502) 715-1249
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
| License | State | Type | Specialty |
|---|---|---|---|
| 283301 | KY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascb Therapy LLC | Occupational Therapist | Current | Accepting new patients |
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": "1677196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677196800000",
"number": "1205535523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "677 TIMBER LN",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "427018907",
"telephone_number": "502-715-1249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4603 TIMBERWALK CT",
"city": "LA GRANGE",
"state": "KY",
"postal_code": "400316746",
"telephone_number": "502-235-2428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PICKMAN",
"first_name": "SIDNEY",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-24",
"last_updated": "2023-02-24",
"certification_date": "2023-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KY",
"license": "283301",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Grange, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.