SYDNEY WHITMARSH, PTA — NPI 1710438114 (Licensed & Credentialed Physical Therapy Assistant in DODGE, NE)

CMS-1500 Box 24J / 33a • NPI

1710438114

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

225200000X

Licensed & Credentialed Physical Therapy Assistant

Box 32 Service Location & ZIP+4

930 2ND ST, DODGE, NE, 68633-3555

✓ 9-Digit EDI 837 ZIP+4 (68633-3555)

Practice Phone & Referral Fax

(402) 693-2212

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1710438114 (SYDNEY WHITMARSH, PTA) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1710438114` (NPI-1 Individual Practitioner)
Provider / Legal Name	SYDNEY WHITMARSH, PTA
Plain-English Specialty	Licensed & Credentialed Physical Therapy Assistant NUCC Code: `225200000X` (Physical Therapy Assistant)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	930 2ND ST, DODGE, NE, 68633-3555
Practice Telephone / Fax	Tel: (402) 693-2212
Administrative Mailing Address	25117 SW PARKWAY AVE, WILSONVILLE, OR, 97070-9697
Enumeration & Last Sync	Enumerated: 2016-10-20 \| CMS Record Updated: 2016-10-20

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

930 2ND ST, DODGE, NE, 68633-3555

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Plain-English Taxonomy & CMS Crosswalk (225200000X)

What Does Taxonomy Code 225200000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 225200000X translates to:
"Licensed & Credentialed Physical Therapy Assistant"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Physical Therapy Assistant for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (SYDNEY WHITMARSH, PTA)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`225200000X` — Physical Therapy Assistant Plain English: Licensed & Credentialed Physical Therapy Assistant	State: NE \| License: `1519` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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SYDNEY WHITMARSH, PTA (NPI #1710438114)