Sadie Belle Siddons, OTR/L

Primary specialty

Gerontology Occupational TherapistTaxonomy code 225XG0600X

License

056.014669 Issued in IL

Practice address

17050 N Quality Lime Rd
Marshall, IL 62441-4698

Phone

(217) 686-4665

NPI assigned

Dec 23, 2021

Last updated

Dec 23, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL, IN2 enrollments

Enrollment records 2

Specialty

Occupational Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Empowerme Rehabilitation Illinois LLCGroup PAC ID 2365718277, 361 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Empowerme Rehabilitation Illinois, LLC

  • Occupational Therapist
  • Edwardsville, IL
  • NPI 1679098263

  Gerontology

  Medicare reassignment Care Compare group NPD
• Empowerme Rehabilitation Illinois, LLC

  • Multi-Specialty Clinic/Center
  • Kokomo, IN
  • NPI 1023618956
  Medicare reassignment NPD
• Empowerme Rehabilitation Illinois, LLC

  • Rehabilitation Clinic/Center
  • Mount Carmel, IL
  • NPI 1962073734
  NPD

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

{
    "created_epoch": "1640217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640217600000",
    "number": "1548920119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17050 N QUALITY LIME RD",
            "city": "MARSHALL",
            "state": "IL",
            "postal_code": "624414698",
            "telephone_number": "217-686-4665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17050 N QUALITY LIME RD",
            "city": "MARSHALL",
            "state": "IL",
            "postal_code": "624414698",
            "telephone_number": "217-686-4665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDONS",
        "first_name": "SADIE",
        "middle_name": "BELLE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-23",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "IL",
            "license": "056.014669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Restoration Dental LLC- Marshall Dental Professionals (Marshall Dental Professionals)
• Rhoads to Healthy LLC
• Selah Partners, LLC
• SGM Physical Therapy
• Shore-Murphy and Associates, LLC
• Julie Justine Pepito Sios-E
• Sierra Snapp
• Diana Stanley-Newbold, DIETITIAN
• Steven G Metternich
• Supportive Care of Illinois PC

• Gerontology Occupational Therapist in Marshall, IL
• Providers in Marshall, IL by specialty
• Gerontology Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2021; 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.