Individual provider Active NPI

Eric Sipe, OTR/L

  • Occupational Therapist
  • Glendale, CA
National Provider Identifier
1902429558
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
21726 Issued in CA
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
427800OtherNBCOT
106092OtherMNMINNESOTA BOARD OF OCCUPATIONAL THERAPY PRACTICE
21726OtherCACALIFORNIA 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

OrganizationSpecialtyStatusNew patients
Total Education Solutions Inc Occupational Therapist PastSince Oct 1, 2022 Accepting new patients
Cortica Healthcare Inc Past Accepting new patients
Total Education Solutions Occupational Therapist PastSince Oct 1, 2022 Accepting new patients

Interoperability endpoints

  • FHIR API: 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.

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.

Verify at the official NPI Registry.