Provider Demographics
NPI:1841451333
Name:SITTON, TANYA (MS OTR/L)
Entity type:Individual
Prefix:MS
First Name:TANYA
Middle Name:
Last Name:SITTON
Suffix:
Gender:F
Credentials:MS OTR/L
Other - Prefix:MS
Other - First Name:TANYA
Other - Middle Name:
Other - Last Name:FARTHING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11040 HARDING RD
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20723-2034
Mailing Address - Country:US
Mailing Address - Phone:301-987-6271
Mailing Address - Fax:
Practice Address - Street 1:301 RUSSELL AVE
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20877-2807
Practice Address - Country:US
Practice Address - Phone:301-987-6271
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-18
Last Update Date:2019-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD07171225XP0019X
AROT1801225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD07171OtherMD OTR LICENSE