Active NPI
Tiffany Walden, COTA/L
- Occupational Therapy Assistant
- Aiken, SC
National Provider Identifier
1972338572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 3503
- Practice address
- 550 E. Gate Dr.
Aiken, SC 29803 - Phone
- (803) 643-3694
- NPI assigned
- Sep 4, 2024
- 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 | 3503 | SC | Primary |
Addresses
Primary practice location
550 E. Gate Dr.
Aiken, SC 29803
Mailing address
550 East Gate Dr.
Aiken, SC 29803
Phone (803) 643-3694
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725494400000",
"number": "1972338572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 EAST GATE DR.",
"city": "AIKEN",
"state": "SC",
"postal_code": "29803",
"telephone_number": "803-643-3694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 E. GATE DR.",
"city": "AIKEN",
"state": "SC",
"postal_code": "29803",
"telephone_number": "803-643-3694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALDEN",
"first_name": "TIFFANY",
"name_prefix": "Mrs.",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-04",
"last_updated": "2024-09-05",
"certification_date": "2024-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "SC",
"license": "3503",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aiken, SC
- Allyson Ann Wahus, PA-C
- Wal-Mart Stores East LP (Walmart Pharmacy 10-4487)
- Wal-Mart Stores East LP (Walmart Pharmacy 10-0514)
- Wal-Mart Stores East, LP (Vision Center 30-0514)
- Chelsea Walden, BSN, RNC-LRN
- Tara M Waldhauer, MA
- Walgreen Co (Walgreens #12795)
- Walgreen Co (Walgreens #11849)
- Donmonique Nicole Walker
- Lasaundria Janai Walker, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.