Active NPI
Mandy Tian, OTR/L
- Pediatric Occupational Therapist
- Chicago, IL
National Provider Identifier
1407021538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 056.008321
- Practice address
- 2300 Childrens Plaza
Box 142
Chicago, IL 60614 - Phone
- (773) 327-2880
- NPI assigned
- Apr 29, 2008
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 056.008321 | IL | Primary |
Addresses
Primary practice location
2300 Childrens Plaza
Box 142
Chicago, IL 60614
Mailing address
1309 N Wells St
Unit 1206
Chicago, IL 60610-1970
Phone (832) 526-5483
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 |
|---|---|---|---|
| 056.008321 | IL | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231459200000",
"number": "1407021538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1309 N WELLS ST",
"address_2": "UNIT 1206",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606101970",
"telephone_number": "832-526-5483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 CHILDRENS PLAZA",
"address_2": "BOX 142",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60614",
"telephone_number": "773-327-2880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIAN",
"first_name": "MANDY",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-29",
"last_updated": "2009-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "IL",
"license": "056.008321",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.