Sideny Johnson, OTD/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

26641 Issued in CA

Practice address

77564 Country Club Dr Ste 401B
Palm Desert, CA 92211-6246

Phone

(760) 772-2838

Fax

(760) 772-2883

NPI assigned

Jul 17, 2024

Sex

Female

Sole proprietor

No

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

Practice roles

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.

• Desert Occupational Therapy for Kids Inc.

  • Occupational Medicine Clinic/Center
  • Palm Desert, CA
  • NPI 1922470608
  NPD (past)

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

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1821836693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77564 COUNTRY CLUB DR STE 401B",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922116246",
            "telephone_number": "760-772-2838",
            "fax_number": "760-772-2883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77564 COUNTRY CLUB DR STE 401B",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922116246",
            "telephone_number": "760-772-2838",
            "fax_number": "760-772-2883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SIDENY",
        "credential": "OTD/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-17",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "26641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John F Kennedy Memorial Foundation
• John N Taylor, MD a Professional Corporation
• Andrzej John
• Raina Johns
• Jana Kay Johnson, PHD
• Casler Johnston
• Edith Ann Jones-Poland, MD
• Pamela Sue Jones-Vandernagel, LCSW
• Aleesa M Jones
• Daria Jones, PT

• Occupational Therapist in Palm Desert, CA
• Providers in Palm Desert, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.