TIDALHEALTH PEDIATRIC DEVELOPMENT AND THERAPY LLC
NPI 1588558308
Occupational Therapist in Millsboro, DE

Active since June 05, 2025
30265 COMMERCE DR UNIT 204, MILLSBORO, DE 19966(443) 978-6020 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tidalhealth Pediatric Development And Therapy Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIDALHEALTH PEDIATRIC DEVELOPMENT AND THERAPY LLC (NPI 1588558308) is a healthcare organization registered as an occupational therapist in Millsboro, Delaware and active in the NPI registry since June 2025. The organization maintains a secondary practice location in Salisbury and lists Jazmine Maree Hollins, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1588558308
Entity TypeOrganization
Primary Taxonomy225X00000X
Legal Business NameTIDALHEALTH PEDIATRIC DEVELOPMENT AND THERAPY LLC
Location Address30265 COMMERCE DR UNIT 204Millsboro, DE 19966-3595
Mailing Address30265 Commerce Dr Unit 204Millsboro, DE 19966-3595 · (443) 978-6020
Organization SubpartNo
Authorized OfficialJazmine Maree HollinsCredentialing Specialist · (704) 799-6824
Enumeration DateJune 5, 2025
NPPES CertifiedJune 5, 2025
NPI 1588558308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
Definition
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.
30265 COMMERCE DR UNIT 204, Millsboro, DE 19966

Secondary Practice Location 1

Location 12326 Goddard Pkwy Ste DSalisbury, MD 21801-1126 · Phone (443) 978-6020

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapy Assistant
30265 COMMERCE DR UNIT 204
MILLSBORO, DE 19966
Occupational Therapist
30265 COMMERCE DR UNIT 204
MILLSBORO, DE 19966
Behavior Technician
30265 COMMERCE DR UNIT 204
MILLSBORO, DE 19966
Occupational Therapist
30265 COMMERCE DR UNIT 204
MILLSBORO, DE 19966
Speech-Language Pathologist
30265 COMMERCE DR UNIT 204
MILLSBORO, DE 19966

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tidalhealth Pediatric Development And Therapy LLC's NPI number?

The NPI number for Tidalhealth Pediatric Development And Therapy LLC is 1588558308. It was assigned to this organization in the NPPES registry on June 5, 2025.

Where is Tidalhealth Pediatric Development And Therapy LLC located?

Tidalhealth Pediatric Development And Therapy LLC is located at 30265 Commerce Dr Unit 204, Millsboro, DE 19966. The listed phone number is (443) 978-6020.

What is Tidalhealth Pediatric Development And Therapy LLC's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

When was this NPI record last updated?

The NPPES record for Tidalhealth Pediatric Development And Therapy LLC was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.