Tina Renee Andrade, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC005260L Issued in PA

Practice address

600 W Valley Forge Rd
King of Prussia, PA 19406-1571

Phone

(610) 337-1775

NPI assigned

Oct 21, 2008

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

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": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224547200000",
    "number": "1356593453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 SHAKESPEARE DR",
            "city": "HARLEYSVILLE",
            "state": "PA",
            "postal_code": "194382167",
            "telephone_number": "215-256-6117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W VALLEY FORGE RD",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061571",
            "telephone_number": "610-337-1775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRADE",
        "first_name": "TINA",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC005260L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anaco ABA LLC
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• Jesse Lee Anderson, DPT
• Jonathan Anderson, MS, BCBA
• Marquia Anderson
• Mark Andress, P.T.
• Gary Andrus, OD
• Moneil Ian Angeles, PHARMD
• Melissa Ann Angelilli, P.T.A.
• Tatyana Anthoney

• Occupational Therapist in King of Prussia, PA
• Providers in King of Prussia, PA by specialty
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; 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.