Healthcare Provider Details

I. General information

NPI: 1013831593
Provider Name (Legal Business Name): LYDIA TIPTON OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LYDIA CHRISTMAN OTR/L

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

114 NORTH RD
WILMINGTON DE
19809-3019
US

IV. Provider business mailing address

114 NORTH RD
WILMINGTON DE
19809-3019
US

V. Phone/Fax

Practice location:
  • Phone: 302-545-4863
  • Fax:
Mailing address:
  • Phone: 302-545-4863
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License NumberOC021533
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License NumberU1-0012679
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: