Active NPI
Nicala Sirianni, OT
- Occupational Therapist
- Spring Lake, NC
National Provider Identifier
1821759655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 17086
- Practice address
- 103 Sleepy Dr Ste G
Spring Lake, NC 28390-3319 - Phone
- (910) 423-5622
- Fax
- (910) 378-1755
- NPI assigned
- Jan 4, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 026401-01 | NY | |
| Occupational Therapist | 225X00000X | 17086 | NC | Primary |
Addresses
Primary practice location
103 Sleepy Dr Ste G
Spring Lake, NC 28390-3319
Mailing address
4602 Cumberland Rd
Fayetteville, NC 28306-2412
Phone (910) 423-5622
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | therapyplayground.raintreeinc.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17086 | NC | MD | Occupational Therapist |
| 026401-01 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Playground, Inc | Past | Accepting new patients | |
| Therapy Playground, Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Speech-Language Pathologist
- Fayetteville, NC
- NPI 1467433680
-
- Physical Therapy Clinic/Center
- Spring Lake, NC
- NPI 1528552007
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726444800000",
"number": "1821759655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4602 CUMBERLAND RD",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283062412",
"telephone_number": "910-423-5622",
"fax_number": "910-378-1755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 SLEEPY DR STE G",
"city": "SPRING LAKE",
"state": "NC",
"postal_code": "283903319",
"telephone_number": "910-423-5622",
"fax_number": "910-378-1755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIRIANNI",
"first_name": "NICALA",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-04",
"last_updated": "2024-09-16",
"certification_date": "2024-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "026401-01",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "17086",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "therapyplayground.raintreeinc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "103 Sleepy Dr Ste G",
"city": "Spring Lake",
"state": "NC",
"country_code": "US",
"postal_code": "283903319",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Spring Lake, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.