Tammy Lynn Musselman

Key facts

NPI

1922495894

Entity type

Individual (NPI type 1)

Primary specialty

Occupational Therapy Assistant 224Z00000X

Practice address

835 Crater Lake Ave
Medford, OR 97504-6505

Phone

(541) 345-6199

NPI assigned

Apr 18, 2015

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 18, 2015.

{
    "created_epoch": "1429315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429315200000",
    "number": "1922495894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 S GROVELAND AVE",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 CRATER LAKE AVE",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046505",
            "telephone_number": "541-345-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSSELMAN",
        "first_name": "TAMMY",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-18",
        "last_updated": "2015-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

• Bonnie Deann Murray
• Dorothea Murray, DO
• Josh Murray
• Michelle Lynette Muse, QMPA-R
• Susan Ann Musolf
• Sariah Mustafa
• Serena Muswieck
• My Hearing Centers-Medford
• My Hearing Centers, LLC
• Skyler Morgan Myers Payne, PSS, CRM

All providers in Medford, OR · Occupational Therapy Assistant in Oregon