Active NPI
Sydney Marie Cusentino, OTR/L
- Occupational Therapist
- North Riverside, IL
National Provider Identifier
1356818355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056.012737
- Practice address
- 7929 W Cermak Rd Ste C
North Riverside, IL 60546-1378 - Phone
- (708) 442-0023
- NPI assigned
- Oct 28, 2018
- Sex
- Female
- Sole proprietor
- No
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 | 056.012737 | IL | Primary |
Addresses
Primary practice location
7929 W Cermak Rd Ste C
North Riverside, IL 60546-1378
Mailing address
1135 S Delano CT E Apt E709
Chicago, IL 60605-3457
Phone (773) 507-3652
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056.012737 | IL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540684800000",
"number": "1356818355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1135 S DELANO CT E APT E709",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606053457",
"telephone_number": "773-507-3652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7929 W CERMAK RD STE C",
"city": "NORTH RIVERSIDE",
"state": "IL",
"postal_code": "605461378",
"telephone_number": "708-442-0023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUSENTINO",
"first_name": "SYDNEY",
"middle_name": "MARIE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-28",
"last_updated": "2018-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056.012737",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Riverside, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.