Active NPI
Tamara Lynn Misch, OT
- Occupational Therapist
- Broadview HTS, OH
National Provider Identifier
1013416379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT006756
- Practice address
- 3505 E Royalton Rd
Broadview HTS, OH 44147-2994 - Phone
- (440) 570-7498
- NPI assigned
- Feb 1, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT006756 | OH | Primary |
Addresses
Primary practice location
3505 E Royalton Rd
Broadview HTS, OH 44147-2994
Mailing address
8819 Broadview Rd
Broadview HTS, OH 44147-1958
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
| License | State | Type | Specialty |
|---|---|---|---|
| OT006756 | OH | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517443200000",
"number": "1013416379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8819 BROADVIEW RD",
"city": "BROADVIEW HTS",
"state": "OH",
"postal_code": "441471958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3505 E ROYALTON RD",
"city": "BROADVIEW HTS",
"state": "OH",
"postal_code": "441472994",
"telephone_number": "440-570-7498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MISCH",
"first_name": "TAMARA",
"middle_name": "LYNN",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-01",
"last_updated": "2018-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "OT006756",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Broadview HTS, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.