Deborah Svidish, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OT-A512 Issued in AR

Practice address

413 W Tyler Ave
West Memphis, AR 72301-4149

Phone

(870) 733-1200

Fax

(870) 732-3269

NPI assigned

Apr 23, 2008

Last updated

Apr 23, 2008By the provider in NPPES

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ascent Acquisitions Corp-PSC

  dba Pediatric Specialty Care

  • Counselor
  • West Memphis, AR
  • NPI 1861525826
  NPD (past)

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208908800000",
    "number": "1518132422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 W TYLER AVE",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723014149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 W TYLER AVE",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723014149",
            "telephone_number": "870-733-1200",
            "fax_number": "870-732-3269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SVIDISH",
        "first_name": "DEBORAH",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-23",
        "last_updated": "2008-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AR",
            "license": "OT-A512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Sullivan, SLP
• Melissa Ann Summers, APRN
• Summit Hospice Providers-II, LLC
• Carla Sue Sumner
• Deepali Suryavanshi, OTRL
• Amber Tackett, PHARMD
• Shirley Alema Tanner, ANP
• Amanda Taylor, LCSW
• Jacquelyn Taylor, RN
• The Treatment Camp

• Occupational Therapy Assistant in West Memphis, AR
• Providers in West Memphis, AR by specialty
• Occupational Therapy Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.