Cynthia Sidaris, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

11791 Issued in CA

Practice address

646 Camellia Way
Los Altos, CA 94024-3116

Phone

(650) 793-1712

NPI assigned

Mar 3, 2014

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

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

{
    "created_epoch": "1393804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393804800000",
    "number": "1285059014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "646 CAMELLIA WAY",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940243116",
            "telephone_number": "650-793-1712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "646 CAMELLIA WAY",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940243116",
            "telephone_number": "650-793-1712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDARIS",
        "first_name": "CYNTHIA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-03",
        "last_updated": "2014-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "11791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Occupational Therapist in Los Altos, CA
• Providers in Los Altos, CA by specialty
• Pediatric Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2014; 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.