Marcia Tidd, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

17-02010 Issued in KS

Practice address

9757 W 343Rd St
Paola, KS 66071-6269

Phone

(913) 271-3736

NPI assigned

Dec 17, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1418774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418774400000",
    "number": "1942608393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9757 W 343RD ST",
            "city": "PAOLA",
            "state": "KS",
            "postal_code": "660716269",
            "telephone_number": "913-271-3736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9757 W 343RD ST",
            "city": "PAOLA",
            "state": "KS",
            "postal_code": "660716269",
            "telephone_number": "913-271-3736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIDD",
        "first_name": "MARCIA",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-17",
        "last_updated": "2014-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KS",
            "license": "17-02010",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2001007559",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Michael Stoecker, PHARMD.
• Elizabeth Stone
• Sunflower Centers of Kansas, Inc (Miami County Mental Health Center)
• Lydia L Svoboda, LPC
• Tessa May Thompson
• Jill Tomlonson, LMSW
• Trent E. Knewtson
• Jaime Nicole Trent, D.C.
• Rachelle Troxel, EDS
• Tyler Tush, PHARM.D.

• Occupational Therapist in Paola, KS
• Providers in Paola, KS by specialty
• Occupational Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2014; 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.