Marcia Dyk | NPI 1376972497

Key facts

NPI: 1376972497
Entity type: Individual (NPI type 1)
Primary specialty: Neurorehabilitation Occupational Therapist 225XN1300X
License: 737 (OR)
Practice address: 5330 Elgin St SE
Turner, OR 97392-9607
Phone: (503) 743-1311
NPI assigned: Nov 8, 2013
Sex: Female
Sole proprietor: No

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
737	OR	MD	Registered Dietitian

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Gerontology Occupational Therapist	225XG0600X	737	OR
Neurorehabilitation Occupational Therapist	225XN1300X	737	OR	Yes
Pediatric Occupational Therapist	225XP0200X	737	OR

Addresses

Primary practice location

5330 Elgin St SE
Turner, OR 97392-9607

Mailing address

5330 Elgin St SE
Turner, OR 97392-9607

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 8, 2013.

{
    "created_epoch": "1383868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383868800000",
    "number": "1376972497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5330 ELGIN ST SE",
            "city": "TURNER",
            "state": "OR",
            "postal_code": "973929607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5330 ELGIN ST SE",
            "city": "TURNER",
            "state": "OR",
            "postal_code": "973929607",
            "telephone_number": "503-743-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYK",
        "first_name": "MARCIA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-08",
        "last_updated": "2013-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "OR",
            "license": "737",
            "primary": false
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "OR",
            "license": "737",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "OR",
            "license": "737",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Turner, OR

Lee Ann Baecker
Angelia Denise Beckwith, CERTIFIED RECOVERY M
Venessa Brewton
Cascade School District
Chatterboks Speech Therapy PC
Mary C Ficken, OTR/L
Lauren Fojaco, SLP
Front Porch Counseling LLC
Horses of Hope Oregon
Joanna Kishpaugh

All providers in Turner, OR · Neurorehabilitation Occupational Therapist in Oregon

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2013. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.