Active NPI
Sydney Henry
- Occupational Therapist
- Lebanon, OH
National Provider Identifier
1518670397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT012839
- Practice address
- 1879 Deerfield Rd
Lebanon, OH 45036-9946 - Phone
- (513) 695-2900
- NPI assigned
- Dec 27, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OTA007968 | OH | |
| Occupational Therapist | 225X00000X | OT012839 | OH | Primary |
Addresses
Primary practice location
1879 Deerfield Rd
Lebanon, OH 45036-9946
Mailing address
157 Clark Ave
Waynesville, OH 45068-8671
Phone (937) 728-8452
Other practice location 1
105 Atrium Dr
Middletown, OH 45005-5166
Phone (513) 727-4590
Other practice location 2
585 N St Route 741
Lebanon, OH 45036-3313
Phone (513) 932-2020
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 |
|---|---|---|---|
| OTA007968 | OH | MD | Occupational Therapy Assistant |
| OT012839 | OH | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733875200000",
"number": "1518670397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "157 CLARK AVE",
"city": "WAYNESVILLE",
"state": "OH",
"postal_code": "450688671",
"telephone_number": "937-728-8452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1879 DEERFIELD RD",
"city": "LEBANON",
"state": "OH",
"postal_code": "450369946",
"telephone_number": "513-695-2900"
}
],
"practiceLocations": [
{
"address_1": "105 Atrium Dr",
"address_purpose": "LOCATION",
"city": "Middletown",
"state": "OH",
"postal_code": "450055166",
"country_code": "US",
"telephone_number": "513-727-4590",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "585 N St Route 741",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "OH",
"postal_code": "450363313",
"country_code": "US",
"telephone_number": "513-932-2020",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HENRY",
"first_name": "SYDNEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-27",
"last_updated": "2024-12-11",
"certification_date": "2024-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "OH",
"license": "OTA007968",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "OT012839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lebanon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.