Debra Tidmore

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

3401 Issued in SC

Practice address

30 Springcrest CT
Greenville, SC 29607-4034

Phone

(864) 528-5547

NPI assigned

Feb 7, 2015

Last updated

Feb 7, 2015By 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

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

{
    "created_epoch": "1423267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423267200000",
    "number": "1568853976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 BALDWIN CREEK WAY",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296807412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 SPRINGCREST CT",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296074034",
            "telephone_number": "864-528-5547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIDMORE",
        "first_name": "DEBRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-07",
        "last_updated": "2015-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "SC",
            "license": "3401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Thrower, RBT
• Brianna Thurmond
• Erin L Thurston, M.D.
• James Cole Thurston
• Michael John Tiburzi, D.O.
• Ashlee Chumney Tiffany
• Debra Ann Tilden, MA
• Constance Tilghman, LPN
• Peter Lloyd Tilkemeier, MD
• Thomas L Tiller Jr., M. D.

• Occupational Therapy Assistant in Greenville, SC
• Providers in Greenville, SC by specialty
• Occupational Therapy Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2015; 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.