Individual provider Active NPI

Sidhartha Sorker, OTR/L

  • Occupational Therapist
  • Jackson, TN
National Provider Identifier
1962587410
Registry record updated Aug 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2094 Issued in TN
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

Updated by the provider on Aug 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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

LicenseStateTypeSpecialty
2094TNMDOccupational 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.

Verify at the official NPI Registry.