Individual provider Active NPI

Estelle Strydom

  • Occupational Therapist
  • Pittsfield, MA
National Provider Identifier
1710011093
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
194534 Issued in MA
Practice address
169 Valentine Rd
Pittsfield, MA 01201-3042
Phone
(413) 445-9768
NPI assigned
Mar 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 194534 MA Primary
Occupational Therapist 225X00000X 0720000433 VT

Addresses

Primary practice location

169 Valentine Rd
Pittsfield, MA 01201-3042

Mailing address

96 Harryel St
Pittsfield, MA 01201-4420

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180124002147 TN Practitioner - Occupational Therapist in Private Practice 7416216288 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State of TennesseeGroup PAC ID 5698687077, 21 clinicians

Practice addresses (Care Compare)

11437 Milton Wilson Rd
Arlington, TN 38002-4926
Phone (901) 745-7509

500 James Robertson Pkwy
Nashville, TN 37243-1204

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5241TNMDClinical Social Worker
194534MAMDOccupational Therapist
0720000433VTMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
State of Tennessee Occupational Therapist CurrentSince Jul 1, 2017 Accepting new patients
State of Tennessee CurrentSince Jul 1, 2017 Accepting new patients
At Home Rehab & Consulting Services, LLC. Occupational Therapist Past Accepting new patients

Locations

4850 E Andrew Johnson Hwy
Greeneville, TN 37745
Phone (423) 787-6635

400 Deaderick St
Fl 9
Nashville, TN 37243
Phone (615) 532-6530

400 Deaderick St
Fl 10
Nashville, TN 37243

Organizations & group practices 3

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": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710011093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 HARRYEL ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012014420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 VALENTINE RD",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012013042",
            "telephone_number": "413-445-9768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRYDOM",
        "first_name": "ESTELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "194534",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VT",
            "license": "0720000433",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.