Active NPI
Tamara Hyatt, OT
- Occupational Therapist
- Baltimore, MD
National Provider Identifier
1861707259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 04855
- Practice address
- 6602 Deancroft Rd
Baltimore, MD 21209-2713 - Phone
- (410) 484-1860
- NPI assigned
- Aug 10, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 04855 | MD | |
| Occupational Therapist | 225X00000X | 04855 | MD | Primary |
Addresses
Primary practice location
6602 Deancroft Rd
Baltimore, MD 21209-2713
Mailing address
6602 Deancroft Rd
Baltimore, MD 21209-2713
Phone (410) 484-1860
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240911000365 | MD | Practitioner - Occupational Therapist in Private Practice | 9830639392 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2 Wisconsin Cirle
Suite 700
Chevy Chase, MD 20815-7007
Phone (917) 855-2114
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04855 | MD | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Accessible Occupational Therapy LLC | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629676800000",
"number": "1861707259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6602 DEANCROFT RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212092713",
"telephone_number": "410-484-1860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6602 DEANCROFT RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212092713",
"telephone_number": "410-484-1860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HYATT",
"first_name": "TAMARA",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-10",
"last_updated": "2021-08-23",
"certification_date": "2021-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "MD",
"license": "04855",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "04855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.