Carolyn Siewiorek

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

427 S Cedros Ave Ste 101
Solana Beach, CA 92075-1969

Phone

(858) 704-4464

NPI assigned

Feb 17, 2020

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

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1581897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581897600000",
    "number": "1871126037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3794 MYKONOS LN UNIT 39",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921305514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 S CEDROS AVE STE 101",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920751969",
            "telephone_number": "858-704-4464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEWIOREK",
        "first_name": "CAROLYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-17",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "carrie.siewiorek@presencelearning.com",
            "affiliation": "N",
            "address_1": "3794 Mykonos Ln Unit 39",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921305514",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "carrie@moveplaygrow.com",
            "affiliation": "N",
            "address_1": "3794 Mykonos Ln Unit 39",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921305514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Martina Marie Shubert, NP
• Joseph D Shum, ND
• Jessy Sidhu, DMD
• Edward Allen Siegel, M.D.
• Sean Siemens, PT
• Kerry Simmonds, DPT
• Simplify Genomics Clinical Laboratory
• G. Preston Sims, PH.D.
• April Lynn Sisk, COTA
• Autumn Siverling

• Occupational Therapist in Solana Beach, CA
• Providers in Solana Beach, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2020; 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.