Healthcare Provider Details

I. General information

NPI: 1194543678
Provider Name (Legal Business Name): SYDNEY BIGGS HOPKINS OTD, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2024
Last Update Date: 10/02/2024
Certification Date: 10/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

132 N. MAIN STREET
STUART VA
24171
US

IV. Provider business mailing address

132 N. MAIN STREET
STUART VA
24172
US

V. Phone/Fax

Practice location:
  • Phone: 276-229-1380
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number0119010500
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: