Individual provider Active NPI

Sydney Hrastich, OTR/L

  • Occupational Therapist
  • Saint Paul, MN
National Provider Identifier
1972336014
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
107323 Issued in MN
Practice address
471 Magnolia Ave E
Saint Paul, MN 55130-3849
Phone
(651) 776-5151
NPI assigned
Aug 23, 2024
Reactivated
Mar 16, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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 107323 MN Primary

Addresses

Primary practice location

471 Magnolia Ave E
Saint Paul, MN 55130-3849

Mailing address

4441 29TH Ave S
Minneapolis, MN 55406-3708
Phone (651) 373-0111

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
107323MNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Community of Peace Academy 4015-07 PastSince Aug 25, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1724371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1972336014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4441 29TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554063708",
            "telephone_number": "651-373-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 MAGNOLIA AVE E",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551303849",
            "telephone_number": "651-776-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HRASTICH",
        "first_name": "SYDNEY",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-23",
        "last_updated": "2026-03-16",
        "certification_date": "2024-08-23",
        "deactivation_date": "2025-04-29",
        "reactivation_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "107323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; 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.