Rachel Sidle

Primary specialty

OrthotistTaxonomy code 222Z00000X

License

215 Issued in TN

Practice address

6515 Poplar Ave Ste 112
Memphis, TN 38119-4878

Phone

(901) 795-1776

Fax

(901) 795-1738

NPI assigned

Apr 11, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Advanced Prosthetics and Orthotics Inc

  • Prosthetic/Orthotic Supplier
  • Cordova, TN
  • NPI 1477763332

  Orthotist

  NPD (past)

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

{
    "created_epoch": "1491868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547596800000",
    "number": "1316470883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6515 POPLAR AVE STE 112",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381194878",
            "telephone_number": "901-795-1776",
            "fax_number": "901-795-1738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6515 POPLAR AVE STE 112",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381194878",
            "telephone_number": "901-795-1776",
            "fax_number": "901-795-1738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDLE",
        "first_name": "RACHEL",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-11",
        "last_updated": "2019-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "TN",
            "license": "195",
            "primary": false
        },
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "TN",
            "license": "215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ABC",
            "identifier": "CPO 03218",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bilal Siddiq, BS
• Adeel Siddiqui, M.B.B.S.
• Hina Fatima Siddiqui, D.O.
• Christian Sidebottom
• Aminatou Sidi Ousmane Gandou
• Sidney H Kriger MD PC
• Cacilda Maria Faria Siega, MD
• Barry R Siegel, M.D.
• David Robert Siegel, M.D.
• Gloria S. Siegel, PH.D.

• Orthotist in Memphis, TN
• Providers in Memphis, TN by specialty
• Orthotist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; 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.