Individual provider Active NPI

Jacquelyn Marie Sides, OTR/L, CHT

  • Hand Occupational Therapist
  • Danville, VA
National Provider Identifier
1659085207
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
0119003320 Issued in VA
Practice address
4819 Riverside Dr Ste C
Danville, VA 24541-5581
Phone
(434) 421-6179
NPI assigned
Jan 9, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 0119003320 VA Primary
Occupational Therapist 225X00000X 0119003320 VA

Addresses

Primary practice location

4819 Riverside Dr Ste C
Danville, VA 24541-5581

Mailing address

2050 Pointer Rd
Alton, VA 24520-3508
Phone (757) 448-5674

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230413001004 VA Practitioner - Occupational Therapist in Private Practice 5890160493 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dunn Therapy LLCGroup PAC ID 7810341070, 2 clinicians

Practice addresses (Care Compare)

4819 Riverside Dr
Suite C
Danville, VA 24541-5581
Phone (434) 421-6179

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0119003320VAMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dunn Therapy LLC CurrentSince Mar 3, 2026 Accepting new patients

Locations

4819 Riverside Dr
Ste C
Danville, VA 24541
Phone (434) 421-6179

Organizations & group practices 1

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": "1673222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1659085207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 POINTER RD",
            "city": "ALTON",
            "state": "VA",
            "postal_code": "245203508",
            "telephone_number": "757-448-5674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4819 RIVERSIDE DR STE C",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245415581",
            "telephone_number": "434-421-6179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDES",
        "first_name": "JACQUELYN",
        "middle_name": "MARIE",
        "credential": "OTR/L, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-09",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "VA",
            "license": "0119003320",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119003320",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; 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.