Tiyana Sidni King, OTRL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201010706 Issued in MI

Practice address

20000 Victor Pkwy Ste 100
Livonia, MI 48152-7027

Phone

(734) 743-2909

Fax

(734) 953-1743

NPI assigned

Oct 2, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Fare to Freedom

  • Non-emergency Medical Transport (VAN)
  • Livonia, MI
  • NPI 1588903785
  NPD (past)

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

{
    "created_epoch": "1569974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569974400000",
    "number": "1184265068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20000 VICTOR PKWY STE 100",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481527027",
            "telephone_number": "734-743-2909",
            "fax_number": "734-953-1743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20000 VICTOR PKWY STE 100",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481527027",
            "telephone_number": "734-743-2909",
            "fax_number": "734-953-1743"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15500 19 Mile Rd Ste 330",
            "address_purpose": "LOCATION",
            "city": "Clinton Twp",
            "state": "MI",
            "postal_code": "480386313",
            "country_code": "US",
            "telephone_number": "734-743-2909",
            "fax_number": "734-743-2909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "TIYANA",
        "middle_name": "SIDNI",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-02",
        "last_updated": "2019-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201010706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tking@therecoveryproject.net",
            "affiliation": "N",
            "address_1": "20000 Victor Pkwy Ste 100",
            "city": "Livonia",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481527027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dana King
• Ivy King, LCSW
• Jennifer J King, COTA/L
• Julia L King
• Tanisha Lashae King
• Rita Kinstle, MA, LLPC, CAC-M
• Steven Douglas Kirby, MD
• Kirsh Contracting Company
• Daniel Carew Kisabeth, D.C.
• Olga Teresa Kiselewski, RBT

• Occupational Therapist in Livonia, MI
• Providers in Livonia, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.