Active NPI
Tanya Lee Ruzyckij, OCCUPATIONAL THERAPY
- Occupational Therapy Assistant
- Deer Isle, ME
National Provider Identifier
1669637120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- TA2103
- Practice address
- 587 N Deer Isle Rd
Deer Isle, ME 04627 - Phone
- (207) 348-2351
- NPI assigned
- Jul 24, 2008
- Last updated
- Jul 24, 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 |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | TA2103 | ME | Primary |
Addresses
Primary practice location
587 N Deer Isle Rd
Deer Isle, ME 04627
Mailing address
39 Troop Rd
Pittston, ME 04345
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 |
|---|---|---|---|
| TA2103 | ME | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216857600000",
"number": "1669637120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 TROOP RD",
"city": "PITTSTON",
"state": "ME",
"postal_code": "04345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "587 N DEER ISLE RD",
"city": "DEER ISLE",
"state": "ME",
"postal_code": "04627",
"telephone_number": "207-348-2351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUZYCKIJ",
"first_name": "TANYA",
"middle_name": "LEE",
"name_prefix": "Ms.",
"credential": "OCCUPATIONAL THERAPY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-24",
"last_updated": "2008-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "ME",
"license": "TA2103",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Deer Isle, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.