Active NPI
Katherine Tidd
- Occupational Therapist
- Rochester, NY
National Provider Identifier
1295237808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 008035-1
- Practice address
- 3111 Winton Rd S
Rochester, NY 14623-2905 - Phone
- (585) 241-1000
- NPI assigned
- Feb 28, 2018
- 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 | 008035-1 | NY | Primary |
Addresses
Primary practice location
3111 Winton Rd S
Rochester, NY 14623-2905
Mailing address
4 Wild Berry LN
Pittsford, NY 14534-9524
Phone (585) 491-0936
Other practice location 1
700 Cottage Brook Ln
Webster, NY 14580-8654
Phone (585) 797-9366
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 |
|---|---|---|---|
| 008035-1 | NY | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leap OT, PT & SLP PLLC | Past | Accepting new patients |
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.
-
- Early Intervention Provider Agency
- Webster, NY
- NPI 1467698258
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1295237808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 WILD BERRY LN",
"city": "PITTSFORD",
"state": "NY",
"postal_code": "145349524",
"telephone_number": "585-491-0936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3111 WINTON RD S",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146232905",
"telephone_number": "585-241-1000"
}
],
"practiceLocations": [
{
"address_1": "700 Cottage Brook Ln",
"address_purpose": "LOCATION",
"city": "Webster",
"state": "NY",
"postal_code": "145808654",
"country_code": "US",
"telephone_number": "585-797-9366",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TIDD",
"first_name": "KATHERINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-28",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "008035-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.