SIRLEY EDIAE (OT) – Occupational Therapist, NPI 1194698027
Occupational Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
825 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in TX
Provider Addresses for SIRLEY EDIAE (OT)
10680 MEDLOCK BRIDGE RD STE 101
JOHNS CREEK, GA 300978420
Phone: (725) 209-3053
Fax: (855) 927-7788
Type: Mailing
20320 NORTHWEST FWY STE 400A
JERSEY VILLAGE, TX 770655620
Phone: (725) 209-3053
Fax: (855) 927-7788
Type: Location
5809 W Modoc Ave
Visalia, CA 932918527
Phone: (725) 209-3053
Fax: (855) 927-7788
Type: Location
5852 Corral Way
LA Jolla, CA 920377423
Phone: (725) 209-3053
Fax: (855) 927-7788
Type: Location
6881 Kingspointe Pkwy Ste 2
Orlando, FL 328196536
Phone: (725) 209-3053
Fax: (855) 927-7788
Type: Location
925 N La Brea Ave Fl 4
West Hollywood, CA 900383161
Phone: (725) 209-3053
Fax: (855) 927-7788
Type: Location
34 Upper Riverdale Rd SE Ste 101
Riverdale, GA 302742635
Phone: (725) 209-3053
Fax: (855) 927-7788
Type: Location
300B Princeton Hightstown Rd Ste 202
East Windsor, NJ 085201400
Phone: (725) 209-3053
Fax: (855) 927-7788
Type: Location
101 Convention Center Dr Ste 900
Las Vegas, NV 891092039
Phone: (725) 209-3053
Fax: (855) 927-7788
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2026-02-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 6 Medicare enrollment records; no due dates published yet.
Enrollment records
6
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20251110003530 | I | Occupational Therapist In Private Practice | PA | TBD |
| I20251110003632 | I | Occupational Therapist In Private Practice | TX | TBD |
| I20251117000720 | I | Occupational Therapist In Private Practice | FL | TBD |
| I20251120002714 | I | Occupational Therapist In Private Practice | CA | TBD |
| I20251120004231 | I | Occupational Therapist In Private Practice | NV | TBD |
| I20260204001022 | I | Occupational Therapist In Private Practice | NJ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30097)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AZ | |
| Occupational Therapist In Private Practice | FL | |
| Physician Assistant | CA | |
| Physical Medicine And Rehabilitation | GA | |
| N E U R O L O G Y | NV | |
| Nurse Practitioner | NV | |
| Occupational Therapist In Private Practice | CA |
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