SERAH ROSE TIDEI (OTR/L) – Occupational Therapist, NPI 1083145312

SERAH ROSE TIDEI (OTR/L) is a healthcare provider. based in Shelbyville, Kentucky. specializing in Occupational Therapist. They hold the professional credentials OTR/L. They hold a License No. 286937 (KY). The NPI Number for SERAH ROSE TIDEI (OTR/L) is 1083145312

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
SERAH ROSE TIDEI (OTR/L)
NPI
1083145312
Phone
(502) 523-8849
Address
90 HOWARD DR
Enumeration Date
27 March 2017
Last Update Date
1 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3172043736
Graduation Year
2016 (10 years ago)
PAC ID
1254608722
Group Practice PAC ID
0143317693
Professional Enrollment ID
I20200408003449
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:9State licenses:2Digital endpointsOther names

Provider Addresses for SERAH ROSE TIDEI (OTR/L)

  • 90 HOWARD DR

    SHELBYVILLE, KY 400658138

    Phone: (502) 523-8849

    Type: Location

  • 7960, North Shadeland Avenue, Castleton, Indianapolis, Indiana, 46250, United States

    INDIANAPOLIS, IN 462502081

    Phone: (502) 523-8849

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 40065)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0143317693View full group profile
NameSpecialtyState
KARIN VAN DUZER (OTR/L)
-WA
SCOTT M MATHEWSON (OTR/L)
-IN
AMBER HENSLEY
-IN
NICOLE SMITH (OT)
-IN
AMY OWENS (PT)
-PA
VISHAKHA HIREMATH (PT)
-IN
Unknown Individual
-IN
SARAH DANIELLE HAMMEL (OT)
-IN
MS. ALEXANDRIA WISE (OTD, OTR//L)
-IN
JESSICA SMITH (MOT)
-IN

Reviews

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Frequently asked questions

Does SERAH ROSE TIDEI (OTR/L) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — SERAH ROSE TIDEI (OTR/L) uses 1083145312.
Does the file indicate SERAH ROSE TIDEI (OTR/L) is practicing under active NPI?
Directory data currently reports SERAH ROSE TIDEI (OTR/L) as active.
What is SERAH ROSE TIDEI (OTR/L) best known for clinically?
Directory data describes SERAH ROSE TIDEI (OTR/L) with Occupational Therapist. Clinical services aligned with this taxonomy classification.
What area does SERAH ROSE TIDEI (OTR/L) serve?
SERAH ROSE TIDEI (OTR/L)'s listing highlights Shelbyville, Kentucky; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.