Jessica Sides, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OC60610891 Issued in WA

Practice address

400 29TH St NE
Puyallup, WA 98372-6774

Phone

(903) 267-9981

NPI assigned

Dec 28, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1609113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609113600000",
    "number": "1225625056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9822 158TH ST E APT 1",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983758919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 29TH ST NE",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983726774",
            "telephone_number": "903-267-9981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDES",
        "first_name": "JESSICA",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-28",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WA",
            "license": "OC60610891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Marie Shoop, DPT
• Steven T Shores, M.O.T.
• Darlene Sue Short, R.N.
• Stephenie Sianko-Gundlach, LADC, LMHCA, SUDP
• Omar Kabir Siddiqui, DMD
• Jasmanpreet Kaur Sidhu, CNA
• Parneet Sidhu
• Shane Sidhu, D.D.S.
• Melinda Sidor, CCC-SLP
• Angela E Siegel, MA, CCC-SLP

• Occupational Therapy Assistant in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Occupational Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.