Active NPI
Sidhartha Sorker, OTR/L
- Occupational Therapist
- Jackson, TN
National Provider Identifier
1962587410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2094
- Practice address
- 33 Directors Row
Medical Center Home Health
Jackson, TN 38305-2316 - Phone
- (800) 748-3025
- Fax
- (731) 984-2079
- NPI assigned
- Oct 25, 2006
- Sex
- Male
- 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 | 2094 | TN | Primary |
Addresses
Primary practice location
33 Directors Row
Medical Center Home Health
Jackson, TN 38305-2316
Mailing address
93 Bent Creek LN
Jackson, TN 38305-2172
Phone (731) 441-2359
Other names 1
- Mr. Sid Sorker
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2094 | TN | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282780800000",
"number": "1962587410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "93 BENT CREEK LN",
"city": "JACKSON",
"state": "TN",
"postal_code": "383052172",
"telephone_number": "731-441-2359",
"fax_number": "731-256-0667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 DIRECTORS ROW",
"address_2": "MEDICAL CENTER HOME HEALTH",
"city": "JACKSON",
"state": "TN",
"postal_code": "383052316",
"telephone_number": "800-748-3025",
"fax_number": "731-984-2079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SORKER",
"first_name": "SIDHARTHA",
"name_prefix": "Mr.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-25",
"last_updated": "2010-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TN",
"license": "2094",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SID",
"last_name": "SORKER",
"prefix": "MR.",
"credential": "OTR/L",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.