Active NPI
Sydney Nicole Dubchy
- Occupational Therapist
- Newington, CT
National Provider Identifier
1275259723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 6057
- Practice address
- 505 Willard Avenue
Newington, CT 06111 - Phone
- (860) 665-8265
- NPI assigned
- Oct 17, 2022
- Last updated
- Oct 17, 2022
- 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 | 6057 | CT | Primary |
Addresses
Primary practice location
505 Willard Avenue
Newington, CT 06111
Mailing address
3 Lox Lane
Enfield, CT 06082
Phone (860) 394-5725
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665964800000",
"number": "1275259723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 LOX LANE",
"city": "ENFIELD",
"state": "CT",
"postal_code": "06082",
"telephone_number": "860-394-5725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 WILLARD AVENUE",
"city": "NEWINGTON",
"state": "CT",
"postal_code": "06111",
"telephone_number": "860-665-8265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUBCHY",
"first_name": "SYDNEY",
"middle_name": "NICOLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-10-17",
"last_updated": "2022-10-17",
"certification_date": "2022-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CT",
"license": "6057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.