Mark Hayduk, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OP002914L Issued in PA

Practice address

9850 Old Perry Hwy
Wexford, PA 15090-9311

Phone

(412) 366-7900

NPI assigned

Mar 19, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295859015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 SWEETBRIAR DR",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153172449",
            "telephone_number": "724-745-8029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9850 OLD PERRY HWY",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150909311",
            "telephone_number": "412-366-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYDUK",
        "first_name": "MARK",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "PA",
            "license": "OP002914L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Stuart Hartline, L.M.S.W
• Charles Ray Hartman Jr., PTA
• Olivia Hartman
• Farhad Hasan, M.D.
• Heywood Albert Haser, M.D.
• Loraine J Hayes, LCSW
• Sangeetha M Haywood
• Healthy Kids RX LLC (Healthy Kids RX)
• Amber Nicole Hedzik, MSW
• Jamie Allyson Heffler, LCSW

• Occupational Therapy Assistant in Wexford, PA
• Providers in Wexford, PA by specialty
• Occupational Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.