Sydney Marie Shaffar, OTD, OTR/L

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

OT.0008546 Issued in CO

Practice address

1355 E 100TH LN
Thornton, CO 80229-3967

Phone

(402) 957-3559

NPI assigned

Jul 10, 2024

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1720569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1609613496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 E 100TH LN",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802293967",
            "telephone_number": "402-957-3559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 E 100TH LN",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802293967",
            "telephone_number": "402-957-3559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFFAR",
        "first_name": "SYDNEY",
        "middle_name": "MARIE",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-10",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CO",
            "license": "OT.0008546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Britt Severson, MD
• Karl Shackelford, BCCC
• Susan Marie Shada, RDH
• Shadow Counseling
• Adnan Daniel Shafeeq
• Harpreet Kaur Shahi, NP
• Ariel Dominique Shaifer, FNP-C
• Christopher Thomas Shama, CFA
• Kelsey Brooke Shane, MA
• Janelle Shannon

• Athletic Trainer in Thornton, CO
• Providers in Thornton, CO by specialty
• Athletic Trainer in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.

Verify at the official NPI Registry.