Individual provider Active NPI

Sydney Nicole Woolley, OTR

  • Occupational Therapist
  • Spokane, WA
National Provider Identifier
1508624636
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
5905 N Mayfair St
Spokane, WA 99208-1127
Phone
(509) 863-5780
NPI assigned
Mar 12, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Primary

Addresses

Primary practice location

5905 N Mayfair St
Spokane, WA 99208-1127

Mailing address

819 Upper Terrace LN
Colbert, WA 99005-8314
Phone (509) 863-5780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240627001053 WA Practitioner - Occupational Therapist in Private Practice 0345784617 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inspire Physical and Hand Therapy Spokane Inc PSGroup PAC ID 1254221112, 18 clinicians

Practice addresses (Care Compare)

5905 N Mayfair St
Suite 100
Spokane, WA 99208-1127
Phone (509) 462-8010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Inspire Physical & Hand Therapy Spokane Inc. P.S. Occupational Therapist CurrentSince Apr 9, 2024 Accepting new patients
Inspire Physical & Hand Therapy Spokane Inc. P.S. Occupational Therapist Past Accepting new patients

Locations

601 W 5th Ave
Ste 308
Spokane, WA 99204
Phone (509) 413-2495

5905 N Mayfair St
#100
Spokane, WA 99208
Phone (509) 315-9155

12410 E Sinto Ave
Ste 205
Spokane Valley, WA 99216
Phone (509) 242-3944

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1710201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1508624636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 UPPER TERRACE LN",
            "city": "COLBERT",
            "state": "WA",
            "postal_code": "990058314",
            "telephone_number": "509-863-5780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5905 N MAYFAIR ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992081127",
            "telephone_number": "509-863-5780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLLEY",
        "first_name": "SYDNEY",
        "middle_name": "NICOLE",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-12",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.