Active NPI
Christirose Sica, M.S., OTR/L
- Pediatric Occupational Therapist
- Bluffton, SC
National Provider Identifier
1861633448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 3203
- Practice address
- 4 3Rd Avenue
Bluffton, SC 29910 - Phone
- (856) 417-5406
- NPI assigned
- Mar 12, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 3203 | SC | Primary |
Addresses
Primary practice location
4 3Rd Avenue
Bluffton, SC 29910
Mailing address
4 3Rd Avenue
Bluffton, SC 29910
Phone (856) 417-5406
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3203 | SC | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236816000000",
"number": "1861633448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 3RD AVENUE",
"city": "BLUFFTON",
"state": "SC",
"postal_code": "29910",
"telephone_number": "856-417-5406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 3RD AVENUE",
"city": "BLUFFTON",
"state": "SC",
"postal_code": "29910",
"telephone_number": "856-417-5406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SICA",
"first_name": "CHRISTIROSE",
"name_prefix": "Ms.",
"credential": "M.S., OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-12",
"last_updated": "2009-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "SC",
"license": "3203",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bluffton, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.