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MR. MARK MYDAN OTR/L NPI 1104292499


NPI Information

NPI: 1104292499
Provider Name: MR. MARK MYDAN, OTR/L
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
544 MIDWOOD CT
BELLINGHAM, WA
ZIP 98229
Phone: (360) 595-8427
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MR. Mark Mydan, OTR/L is a specialist in Bellingham, WA with 31 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MR. Mark Mydan, OTR/L NPI is 1104292499. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

544 MIDWOOD CT
BELLINGHAM, WA
ZIP 98229-102
Phone: (360) 595-8427

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes (HCPCS:97110)
  • Manual (physical) therapy techniques to 1 or more regions, each 15 minutes (HCPCS:97140)
  • Therapeutic activities to improve function, with one-on-one contact between patient and provider, each 15 minutes (HCPCS:97530)
  • Evaluation of occupational therapy, typically 30 minutes (HCPCS:97165)

The enumeration date for this NPI number is 8/20/2015 and was last updated on 8/20/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistOT 60084951WASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.