JUSTINE TIDMARSH (NPI# 1750937629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750937629 |
| Entity Type | Individual |
| Full Name | JUSTINE TIDMARSH |
| Credential | MS, OTR/L |
| Practice Address |
201 Juniper Rd Havertown PA 19083-5411 |
| Practice Telephone | 6109085095 |
| Practice Fax Number | 8552328604 |
| Mailing Telephone | 6109085095 |
| Mailing Fax Number | 8552328604 |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2019-08-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OC012414 | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
201 JUNIPER RD |
| City | HAVERTOWN |
| State | PA |
| Zip Code | 19083-5411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043835457 | Kelly Anne Clarke | Counselor | American Treatment Network Physician & Associates, 1120 Township Line Road, Havertown, PA 19083 | 2020-06-11 |
| 1588216238 | Angela Wrolstad | Registered Nurse | 614 Darby Road, Havertown, PA 19083 | 2019-07-12 |
| 1639696214 | Osaru Anyumba | Case Manager/Care Coordinator | 311 Lansdowne Road, Havertown, PA 19083 | 2017-08-24 |
| 1346762739 | Luke Francis Mattson | Pharmacist | 60 West Hillcrest Avenue, Havertown, PA 19083 | 2017-07-07 |
| 1124558150 | Clare M Chakey | Counselor | 1631 Ridgeway Road, Haventown, PA 19083 | 2017-06-13 |
| 1205382553 | Silverware Home Care Service LLC | Residential Treatment Facility, Physical Disabilities | 2010 Wester Chester Pike, Suite 448, Havertown, PA 19083 | 2016-08-28 |
| 1275903486 | Megan Keeley Ramaika | Dietitian, Registered | 404 Fairmont Road, Havertown, PA 19083 | 2015-09-30 |
| 1972987246 | Katie Paugh | Occupational Therapist | One North Belfield Avenue, Havertown, PA 19083 | 2015-07-16 |
| 1497140180 | Total Health Home Care Corporation | Nurse's Aide | 2710 West Township Line Rd, Havertown, PA 19083 | 2015-03-31 |
| 1851704084 | Ul Sik Jason Chong | Pharmacist | 700 East Townshipline Road Ste Ll, Havertown, PA 19083 | 2014-06-05 |
| Find all providers in zip 19083 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174149884 | Erin Kathleen Nilsson | Occupational Therapist | 109 Ivy Rock Ln, Havertown, PA 19083-2825 | 2020-06-18 |
| 1164966917 | Kathleen Sheppard | Occupational Therapist | 312 Maryland Ave, Havertown, PA 19083-3013 | 2016-12-13 |
| 1972987246 | Katie Paugh | Occupational Therapist | One North Belfield Avenue, Havertown, PA 19083 | 2015-07-16 |
| 1083016505 | Helene Mulholland | Occupational Therapist | 1515 Sunnyhill Ln, Havertown, PA 19083-2923 | 2014-09-17 |
| 1124432851 | Shainna Davis | Occupational Therapist | 1617 Woodmere Way, Havertown, PA 19083-2509 | 2014-06-20 |
| 1669895934 | Katie Casey | Occupational Therapist | 106 Strathmore Rd, Havertown, PA 19083-3722 | 2014-01-22 |
| 1952745135 | Maria Kanakis | Occupational Therapist | 410 W Township Line Rd Ste 4, Havertown, PA 19083-5237 | 2013-04-18 |
| 1508100843 | Linette A Cupchak | Occupational Therapist | 149 Campbell Ave, Havertown, PA 19083-2425 | 2012-11-26 |
| 1871843482 | Katherine Elkin | Occupational Therapist | 144 Rockwood Dr, Havertown, PA 19083-3520 | 2012-09-12 |
| 1841513702 | Grace Culbertson | Occupational Therapist | 510 Kathmere Rd, Havertown, PA 19083-4020 | 2010-03-08 |
| Find all providers in HAVERTOWN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.