Active NPI
Eric Sipe, OTR/L
- Occupational Therapist
- Glendale, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 21726
- Practice address
- 611 N Brand Blvd Ste 100
Glendale, CA 91203-3240 - Phone
- (747) 286-2600
- Fax
- (747) 204-0181
- NPI assigned
- May 18, 2020
- Last updated
- Jan 11, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 | 106092 | MN | |
| Occupational Therapist | 225X00000X | 21726 | CA | Primary |
Addresses
Primary practice location
611 N Brand Blvd Ste 100
Glendale, CA 91203-3240
Mailing address
6160 Cornerstone CT E Ste 100
San Diego, CA 92121-3724
Phone (858) 216-8837
Other practice location 1
1000 S Fremont Ave
Building A10N Suite 10220
Alhambra, CA 91803
Phone (626) 289-7472
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 427800 | Other | NBCOT | |
| 106092 | Other | MN | MINNESOTA BOARD OF OCCUPATIONAL THERAPY PRACTICE |
| 21726 | Other | CA | CALIFORNIA BOARD OF OCCUPATIONAL THERAPY |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Education Solutions Inc | Occupational Therapist | Past | Accepting new patients |
| Cortica Healthcare Inc | Past | Accepting new patients | |
| Total Education Solutions | Occupational Therapist | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/14973/brand/8/csg/1/fhir/r4
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Pediatric Neurology Therapeutics PC
- Health Service Clinic/Center
- San Diego, CA
- NPI 1801288535
-
dba TES Therapy
- Early Intervention Provider Agency
- Alhambra, CA
- NPI 1972991891
Occupational Therapist
-
dba TES Therapy
- Medical Specialty Clinic/Center
- Los Angeles, CA
- NPI 1659535052
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673395200000",
"number": "1902429558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6160 CORNERSTONE CT E STE 100",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921213724",
"telephone_number": "858-216-8837",
"fax_number": "619-947-0276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 N BRAND BLVD STE 100",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912033240",
"telephone_number": "747-286-2600",
"fax_number": "747-204-0181"
}
],
"practiceLocations": [
{
"address_1": "1000 S Fremont Ave",
"address_2": "Building A10N Suite 10220",
"address_purpose": "LOCATION",
"city": "Alhambra",
"state": "CA",
"postal_code": "91803",
"country_code": "US",
"telephone_number": "626-289-7472",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIPE",
"first_name": "ERIC",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-05-18",
"last_updated": "2023-01-11",
"certification_date": "2023-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "MN",
"license": "106092",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "21726",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NBCOT",
"identifier": "427800",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MINNESOTA BOARD OF OCCUPATIONAL THERAPY PRACTICE",
"identifier": "106092",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA BOARD OF OCCUPATIONAL THERAPY",
"identifier": "21726",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.