Sydney Kirk Sisson, OT

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

3056 Issued in MS

Practice address

1050 N Flowood Dr
Flowood, MS 39232-9738

Phone

(601) 345-4180

NPI assigned

Oct 18, 2018

Last updated

Oct 18, 2018By the provider in NPPES

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)

Enrolled

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

{
    "created_epoch": "1539820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539820800000",
    "number": "1659847473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 N FLOWOOD DR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 N FLOWOOD DR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329738",
            "telephone_number": "601-345-4180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SISSON",
        "first_name": "SYDNEY",
        "middle_name": "KIRK",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-18",
        "last_updated": "2018-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MS",
            "license": "3056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shane Michael Sims, M.D.
• Laveena Singla
• Martha Bigelow Singletary, M.S.,M.A.,,LMFT
• Jessica Singleton, COTA/L
• Kobie Singleton, LMT
• Jasmine Iris Skinner, BCBA
• Taylor Evelynne Slay
• Sleep Ip
• Sleep Management, L.L.C. (VieMed)
• Sleeplinks, LLC

• Pediatric Occupational Therapist in Flowood, MS
• Providers in Flowood, MS by specialty
• Pediatric Occupational Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2018; 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.