Individual provider Active NPI

Sydney Caes, OTD, OTR

  • Occupational Therapist
  • Sandy, UT
National Provider Identifier
1225811847
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
134836124201 Issued in UT
Practice address
90 Albion Village Way
Sandy, UT 84070-4013
Phone
(801) 619-3670
NPI assigned
Aug 16, 2023
Last updated
Aug 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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 134836124201 UT Primary

Addresses

Primary practice location

90 Albion Village Way
Sandy, UT 84070-4013

Mailing address

90 Albion Village Way
Sandy, UT 84070-4013

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230929002451 UT Practitioner - Occupational Therapist in Private Practice 4587018122 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

90 Albion Village Way
Sandy, UT 84070-4013
Phone (801) 619-3670

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
134836124201UTMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Dr. Dale B. Hull Foundation for Neurological Rehabilitation, Inc. Occupational Therapist CurrentSince Aug 21, 2023 Accepting new patients

Locations

90 Albion Village Way
Sandy, UT 84070
Phone (801) 619-3670

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1692144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1225811847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 ALBION VILLAGE WAY",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840704013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 ALBION VILLAGE WAY",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840704013",
            "telephone_number": "801-619-3670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAES",
        "first_name": "SYDNEY",
        "credential": "OTD, OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-16",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "UT",
            "license": "134836124201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.