WILLIAM TYLER BROOME


Address: 101 Brightwater Dr, Myrtle Beach, SC 29579-8275
Phone: 8439038300

WILLIAM TYLER BROOME (NPI# 1326540022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326540022
Entity Type Individual
Full Name WILLIAM TYLER BROOME
Credential COTA/L
Practice Address 101 Brightwater Dr
Myrtle Beach
SC 29579-8275
Practice Telephone 8439038300
Enumeration Date 2018-03-08
Last Update Date 2018-03-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 224Z00000X Occupational Therapy Assistant 4794 SC Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers WILLIAM BROOME

NPI Name Taxonomy Address Enumeration
1588924526 William Jeffrey Broome Pediatrics 145 E Poinsett St, Greer, SC 29651-3405 2012-05-24
1962837385 William Lonas Broome Hearing Instrument Specialist 1578 Bella Cruz Dr, The Villages, FL 32159-8969 2013-09-04
1679671515 William Smith Broome Family Medicine 4410 Valley View Dr, Knoxville, TN 37917-1304 2006-09-21
1710903711 William Carroll Broome Dentist 201 Charlois Blvd, Winston Salem, NC 27103-1507 2006-07-14

Office Location

Street Address 101 BRIGHTWATER DR
City MYRTLE BEACH
State SC
Zip Code 29579-8275

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417152240 Haley Davis Moore Occupational Therapist 101 Brightwater Dr, Myrtle Beach, SC 29579-8275 2007-06-20
1376164681 Brandon Thomas Causey Speech-Language Pathologist 101 Brightwater Dr, Myrtle Beach, SC 29579-8275 2020-04-28
1417441833 Jared Scott Ballard Speech-Language Pathologist 101 Brightwater Dr, Myrtle Beach, SC 29579 2018-06-19
1972094456 Patrick Brenden Yee Occupational Therapist 101 Brightwater Dr, Myrtle Beach, SC 29579-8275 2018-05-21
1609382845 Rachael Wilson Occupational Therapy Assistant 101 Brightwater Dr, Myrtle Beach, SC 29579-8275 2017-12-26
1972014082 Alexis Renee Magoto Speech-Language Pathologist 101 Brightwater Dr, Myrtle Beach, SC 29579-8275 2017-10-16
1548704067 Lisa Rodgers Physical Therapist 101 Brightwater Dr, Myrtle Beach, SC 29579-8275 2016-12-19
1235671694 Tricia Vanriper Occupational Therapy Assistant 101 Brightwater Dr, Myrtle Beach, SC 29579-8275 2016-11-16
1972051217 Alissa Vidovich Occupational Therapist 101 Brightwater Dr, Myrtle Beach, SC 29579-8275 2016-09-15
1942676176 Michael Jesse Shearer Physical Therapist 101 Brightwater Dr, Myrtle Beach, SC 29579-8275 2015-08-11
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598323198 P & E Company Counselor 4105 Carolina Commercial Dr. Unit #2, Myrtle Beach, SC 29579 2019-05-30
1528624632 Matthew Meehan Nurse Practitioner 4016 River Oaks Dr # 6511, Myrtle Beach, SC 29579 2019-05-14
1427518265 Brian Donovan Doherty Student in an Organized Health Care Education/Training Program Grand Strand Medical Center 809 82nd Parkway, Gme Office, Myrtle Beach, SC 29579 2019-03-20
1508347931 South Carolina Cvs Pharmacy LLC Pharmacy 578 International Dr, Myrtle Beach, SC 29579 2018-08-23
1497256176 Orthosc LLC Orthopaedic Surgery 185 Fresh Dr Ste B, Myrtle Beach, SC 29579 2018-02-27
1740708981 Dental Professional of South Carolina, P.C. Dentist 568 International Dr, Myrtle Beach, SC 29579 2017-09-08
1093232480 Johnathan T Steppe Dentist 568 International Drive, Myrtle Beach, SC 29579 2017-08-25
1346638483 Little River Medical Center, Inc Clinic/Center 4220 Carolina Exchange Blvd, Myrtle Beach, SC 29579 2014-12-23
1154726818 Mina Gaid Pharmacist 1303 38th Avenue North, Myrtle Beach, SC 29579 2014-10-23
1528471364 Paola Goyeneche Counselor 5015 Carolina Forest Blvd, Myrtle Beach, SC 29579 2014-06-10
Find all providers in zip 29579

Taxonomy Information

Taxonomy Code 224Z00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapy Assistant

Taxonomy Definition

An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist 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 therapy assistants 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.
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, source changed]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316463086 Margaret Johnson Occupational Therapy Assistant 3621 Happy Woods Ct, Myrtle Beach, SC 29588-2926 2017-08-15
1245765825 Connections Pediatric Therapy Occupational Therapy Assistant 121 Gateway Rd, Suite B, Myrtle Beach, SC 29579-5400 2017-04-20
1336596436 Michael Von Kampen Occupational Therapy Assistant 7601 Driftwood Dr, Myrtle Beach, SC 29572-4153 2016-05-18
1922489301 Edna Guerrette Occupational Therapy Assistant 3930 Saint Ives Rd, #533, Myrtle Beach, SC 29588-1163 2015-06-11
1790189694 Emily Moore Occupational Therapy Assistant 2607 Yaupon Dr Apt 7, Myrtle Beach, SC 29577-4786 2014-10-21
1265795116 Jill Grimes Occupational Therapy Assistant 1226 Harvester Cir, Myrtle Beach, SC 29579-3292 2012-06-15
1467611756 Therapy Consortium Inc. Occupational Therapy Assistant 4761 Highway 501, Suite #1, Myrtle Beach, SC 29579-9457 2008-06-03
1780872523 Jodi Anne Dresmich Occupational Therapy Assistant 614 Woodbine Ct, Myrtle Beach, SC 29579-1747 2007-10-05
1609382845 Rachael Wilson Occupational Therapy Assistant 101 Brightwater Dr, Myrtle Beach, SC 29579-8275 2017-12-26
1508388703 Carolyn Burke Ellis Occupational Therapy Assistant 3620 Happy Woods Ct, Myrtle Beach, SC 29588-2925 2017-07-10
Find all providers in MYRTLE BEACH

Competitor

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City MYRTLE BEACH
Zip Code 29579

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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