Individual provider Active NPI

Jessie Tien

  • Occupational Therapist
  • Salina, KS
National Provider Identifier
1093670895
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
17-03752 Issued in KS
Practice address
523 S Santa Fe Ave
Salina, KS 67401-4145
Phone
(785) 823-2215
Fax
(785) 823-7459
NPI assigned
Dec 23, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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 17-03752 KS Primary

Addresses

Primary practice location

523 S Santa Fe Ave
Salina, KS 67401-4145

Mailing address

523 S Santa Fe Ave
Salina, KS 67401-4145
Phone (785) 823-2215

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260122002324 KS Practitioner - Occupational Therapist in Private Practice 7012494941 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedic Clinic of SalinaGroup PAC ID 5294781787, 17 clinicians

Practice addresses (Care Compare)

523 S Santa Fe Ave
Salina, KS 67401-4145

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17-03752KSMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Clinic of Salina CurrentSince Jan 12, 2026 Accepting new patients

Locations

523 S Santa Fe Ave
Salina, KS 67401
Phone (785) 823-2215

523 S Santa Fe Ave
#O
Salina, KS 67401
Phone (785) 823-2215

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": "1766448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1093670895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 S SANTA FE AVE",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674014145",
            "telephone_number": "785-823-2215",
            "fax_number": "785-823-7459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 S SANTA FE AVE",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674014145",
            "telephone_number": "785-823-2215",
            "fax_number": "785-823-7459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIEN",
        "first_name": "JESSIE",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-12-23",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KS",
            "license": "17-03752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salina, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.