Active NPI
Mychayla Tatyana Harvey, COTA/L
- Occupational Therapy Assistant
- Dallas, TX
National Provider Identifier
1497320873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 216548
- Practice address
- 8523 Thackery St
Dallas, TX 75225-3903 - Phone
- (214) 265-9100
- NPI assigned
- May 26, 2021
- 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 Therapy Assistant | 224Z00000X | 216548 | TX | Primary |
Addresses
Primary practice location
8523 Thackery St
Dallas, TX 75225-3903
Mailing address
2240 E Trinity Mills Rd Apt 1317
Carrollton, TX 75006-7824
Phone (601) 951-1792
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 |
|---|---|---|---|
| 216548 | TX | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621987200000",
"number": "1497320873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2240 E TRINITY MILLS RD APT 1317",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750067824",
"telephone_number": "601-951-1792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8523 THACKERY ST",
"city": "DALLAS",
"state": "TX",
"postal_code": "752253903",
"telephone_number": "214-265-9100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARVEY",
"first_name": "MYCHAYLA",
"middle_name": "TATYANA",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-26",
"last_updated": "2021-05-26",
"certification_date": "2021-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "TX",
"license": "216548",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.