Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Mark Mydan, OTR/L

Individual provider Specialist · NPI 1104292499

Mr. Mark Mydan, OTR/L is an Occupational Therapist in Private Practice in Bellingham, Washington. Qualified in 1993, 33 years ago. Practices with Capstone Health Services Inc, a 26-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
33
Licensed in
WA
In the registry since
2015
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

544 Midwood Ct
Bellingham, WA 98229-7102
Phone: (360) 595-8427
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence OT 60084951 (WA)

Record details

NPI number1104292499
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedAugust 20, 2015
Last updated in NPPESAugust 20, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Capstone Health Services Inc — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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