Active NPI
Mildred Diegidio-Halladay, OT
- Occupational Therapist
- Yardley, PA
National Provider Identifier
1639146608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC004357L
- Practice address
- 90 West Afton Ave
Suite G 5 and 6
Yardley, PA 19067 - Phone
- (215) 493-2666
- Fax
- (215) 493-6639
- NPI assigned
- Mar 8, 2006
- Last updated
- Jul 13, 2026
- 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 Therapist | 225X00000X | OC004357L | PA | Primary |
Addresses
Primary practice location
90 West Afton Ave
Suite G 5 and 6
Yardley, PA 19067
Mailing address
1090 Wildman Ave
Bensalem, PA 19020
Phone (215) 638-2594
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1011857350001 | Medicaid | PA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OC004357L | PA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1639146608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1090 WILDMAN AVE",
"city": "BENSALEM",
"state": "PA",
"postal_code": "19020",
"telephone_number": "215-638-2594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 WEST AFTON AVE",
"address_2": "SUITE G 5 AND 6",
"city": "YARDLEY",
"state": "PA",
"postal_code": "19067",
"telephone_number": "215-493-2666",
"fax_number": "215-493-6639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIEGIDIO-HALLADAY",
"first_name": "MILDRED",
"name_prefix": "Ms.",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-08",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC004357L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1011857350001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Yardley, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.