Melissa Ann Tieck-O'Connor, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

636 Issued in NE

Practice address

2802 Castles Gate Dr
Sioux City, IA 51106-7203

Phone

(712) 266-0707

NPI assigned

Aug 16, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

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.

• Sioux City Physical Therapy PC

  dba Sioux City Physical Therapy

  • Physical Therapist
  • Sioux City, IA
  • NPI 1346313996
  NPD (past)

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

{
    "created_epoch": "1250380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250380800000",
    "number": "1790917334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3308 ORLEANS AVE",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511062351",
            "telephone_number": "712-266-0634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2802 CASTLES GATE DR",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511067203",
            "telephone_number": "712-266-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIECK-O'CONNOR",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-16",
        "last_updated": "2009-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NE",
            "license": "636",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IA",
            "license": "00649",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "SD",
            "license": "0134",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Ann Thieman, LISW
• Karla J Thole-Bechtold, D.D.S.
• Thomas Alan Molstad (Molstad Chiropractic Clinic)
• Amanda Ruth Thomason, D.C
• Ashley Le Anne Thomson, ARNP, PMHNP-BC
• Thomas Leonard Tiedeman, DDS
• David Tillman, NP
• Elizabeth A. Tisher, OTR/L
• William James Tjeerdsma
• TKC Optical Inc

• Physical Therapy Assistant in Sioux City, IA
• Providers in Sioux City, IA by specialty
• Physical Therapy Assistant in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2009; 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.