Active NPI
Mari-Margaret Celeste Tydingco, OT
- Occupational Therapist
- Sitka, AK
National Provider Identifier
1164186821
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- PHYO1574
- Practice address
- 118 Jacobs Cir
Sitka, AK 99835-9573 - Phone
- (907) 738-0923
- NPI assigned
- Oct 28, 2021
- Last updated
- Oct 28, 2021
- Sex
- Female
- Sole proprietor
- No
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 | PHYO1574 | AK | Primary |
Addresses
Primary practice location
118 Jacobs Cir
Sitka, AK 99835-9573
Mailing address
209 Moller
Sitka, AK 99835
Phone (907) 747-1771
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PHYO1574 | AK | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635379200000",
"number": "1164186821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 MOLLER",
"city": "SITKA",
"state": "AK",
"postal_code": "99835",
"telephone_number": "907-747-1771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 JACOBS CIR",
"city": "SITKA",
"state": "AK",
"postal_code": "998359573",
"telephone_number": "907-738-0923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYDINGCO",
"first_name": "MARI-MARGARET",
"middle_name": "CELESTE",
"name_prefix": "Mrs.",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-28",
"last_updated": "2021-10-28",
"certification_date": "2021-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AK",
"license": "PHYO1574",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sitka, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.