Mark Mydan, OTR/L

Primary specialty

SpecialistTaxonomy code 174400000X

License

OT 60084951 Issued in WA

Practice address

544 Midwood CT
Bellingham, WA 98229-7102

Phone

(360) 595-8427

NPI assigned

Aug 20, 2015

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Capstone Health Services IncGroup PAC ID 0446414403, 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Capstone Health Services Inc.

  • Physical Therapist
  • Lynden, WA
  • NPI 1336407956
  Medicare reassignment Care Compare group NPD
• Capstone Health Services Inc.

  • Physical Therapist
  • Bellingham, WA
  • NPI 1831757848
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1440028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440028800000",
    "number": "1104292499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "544 MIDWOOD CT",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982297102",
            "telephone_number": "360-595-8427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "544 MIDWOOD CT",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982297102",
            "telephone_number": "360-595-8427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYDAN",
        "first_name": "MARK",
        "name_prefix": "Mr.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-20",
        "last_updated": "2015-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "OT 60084951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Lynne Murray
• Marion Murray
• Megan E Murray, DNP
• Andrew Jacob Murry, DC
• Wayne R Musselman, OD
• Erika Lynn Myers, ARNP
• George Ronald Myers, DDS
• Hailey Elizabeth Woinshet Myers
• Sarah Sue Myers, N.D.
• Nadeem S. Esmail DDS MD PLLC

• Specialist in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2015; 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.