Active NPI
Sydney Kan, OT
- Occupational Therapist
- Hillsborough, NC
National Provider Identifier
1952909236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 12962
- Practice address
- 2002 Bartlett Cir
Hillsborough, NC 27278-6921 - Phone
- (919) 614-1923
- NPI assigned
- Oct 9, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 12962 | NC | Primary |
Addresses
Primary practice location
2002 Bartlett Cir
Hillsborough, NC 27278-6921
Mailing address
4114 Brushy Mountain St
Cary, NC 27519-7214
Phone (919) 810-9987
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602201600000",
"number": "1952909236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4114 BRUSHY MOUNTAIN ST",
"city": "CARY",
"state": "NC",
"postal_code": "275197214",
"telephone_number": "919-810-9987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2002 BARTLETT CIR",
"city": "HILLSBOROUGH",
"state": "NC",
"postal_code": "272786921",
"telephone_number": "919-614-1923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAN",
"first_name": "SYDNEY",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-09",
"last_updated": "2020-10-09",
"certification_date": "2020-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "12962",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hillsborough, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.