Sydney Branson Beaulac, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

15280 Issued in NC

Practice address

3000 Erwin Rd
Durham, NC 27705-4504

Phone

(919) 684-3733

Fax

(919) 681-7574

NPI assigned

Feb 14, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1550102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1902362916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 CRYSTLEWOOD CT",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275607569",
            "telephone_number": "919-741-7876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 ERWIN RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277054504",
            "telephone_number": "919-684-3733",
            "fax_number": "919-681-7574"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4500 E Cherry Creek South Dr Ste 710",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802461534",
            "country_code": "US",
            "telephone_number": "303-432-8487",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEAULAC",
        "first_name": "SYDNEY",
        "middle_name": "BRANSON",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-14",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "OT.0005821",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "15280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Garber Beatty, ATC
• Lucy Margaret Beatty, OT
• Amanda Floyd Beaty, PT, DPT
• Michael Andrew Beauchamp, MD
• John Beaudry, PA-C
• Abbe Brooks Beauregard, RD
• Beautiful Beginnings: a Speech and Language Program, LLC
• Beautiful Remissions LLC
• Anne Wood Beaven, M.D.
• Kimberly Walters Beaver, COTA/L

• Occupational Therapist in Durham, NC
• Providers in Durham, NC by specialty
• Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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.