NPIMap

Individual provider Active NPI

Stuart Neil Sidell, MS,CAS,CTRS

  • Recreation Therapist
  • Bay Pines, FL
National Provider Identifier
1396944930
Registry record updated Jul 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Recreation TherapistTaxonomy code 225800000X
Practice address
Bay Pines VA Healthcare System
10,000 Bay Pines Blvd
Bay Pines, FL 33708
Phone
(727) 398-6661
NPI assigned
Jul 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Recreation Therapist 225800000X Primary

Addresses

Primary practice location

Bay Pines VA Healthcare System
10,000 Bay Pines Blvd
Bay Pines, FL 33708

Mailing address

Bay Pines VA Healthcare System
10,000 Bay Pines Blvd
Bay Pines, FL 33708
Phone (727) 398-6661

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
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184284800000",
    "number": "1396944930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BAY PINES VA HEALTHCARE SYSTEM",
            "address_2": "10,000 BAY PINES BLVD",
            "city": "BAY PINES",
            "state": "FL",
            "postal_code": "33708",
            "telephone_number": "727-398-6661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BAY PINES VA HEALTHCARE SYSTEM",
            "address_2": "10,000 BAY PINES BLVD",
            "city": "BAY PINES",
            "state": "FL",
            "postal_code": "33708",
            "telephone_number": "727-398-6661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDELL",
        "first_name": "STUART",
        "middle_name": "NEIL",
        "name_prefix": "Mr.",
        "credential": "MS,CAS,CTRS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-13",
        "last_updated": "2007-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225800000X",
            "taxonomy_group": "",
            "desc": "Recreation Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; 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.