Sydney Wilkinson Boyles, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

12274 Issued in NC

Practice address

9129 Monroe Rd Ste 100-105
Charlotte, NC 28270-2429

Phone

(704) 847-2911

Fax

(704) 847-2033

NPI assigned

Jan 19, 2019

Last updated

Jan 19, 2019By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Crossway, Inc.

  dba Crossway Pediatric Therapy

  • Occupational Therapist
  • Charlotte, NC
  • NPI 1851335459
  NPD (past)

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

{
    "created_epoch": "1547856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547856000000",
    "number": "1912471202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9129 MONROE RD STE 100-105",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282702429",
            "telephone_number": "704-847-2911",
            "fax_number": "704-847-2033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9129 MONROE RD STE 100-105",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282702429",
            "telephone_number": "704-847-2911",
            "fax_number": "704-847-2033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYLES",
        "first_name": "SYDNEY",
        "middle_name": "WILKINSON",
        "name_prefix": "Mrs.",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-19",
        "last_updated": "2019-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NC",
            "license": "12274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtenay Boyle, D.C.
• Nicole M Boyle, PT
• Taquira Boyle
• Taylor Ann Boyle, PA
• Shanda Ahmi Boyles, RN
• Alicia Boysel
• Samantha Bozeman
• Rachel Rose Bozin, MD
• Alan Wayne Bozman, PH.D.
• Sabin Joseph Bozso, MD

• Occupational Therapy Assistant in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Occupational Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2019; 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.