ED TYBURSKI (NPI# 1730429960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730429960 |
| Entity Type | Individual |
| Full Name | ED TYBURSKI |
| Credential | COTA |
| Practice Address |
18480 Cochran Blvd Port Charlotte FL 33948-3379 |
| Mailing Address |
6279 Coliseum Blvd Port Charlotte FL 33981-6182 |
| Practice Telephone | 9417434700 |
| Mailing Telephone | 9413805031 |
| Enumeration Date | 2013-02-25 |
| Last Update Date | 2013-02-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | OTA6726 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
18480 COCHRAN BLVD |
| City | PORT CHARLOTTE |
| State | FL |
| Zip Code | 33948-3379 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043233992 | Port Charlotte Facility Operations, LLC | Skilled Nursing Facility | 18480 Cochran Blvd, Port Charlotte, FL 33948-3379 | 2006-07-25 |
| 1871011494 | Katharyn Wegand | Occupational Therapist | 18480 Cochran Blvd, Port Charlotte, FL 33948 | 2017-09-04 |
| 1730624842 | Brittany Roy | Occupational Therapy Assistant | 18480 Cochran Blvd, Port Charlotte, FL 33948-3379 | 2016-12-28 |
| 1912457433 | Kristine Hill | Physical Therapy Assistant | 18480 Cochran Blvd, Port Charlotte, FL 33948-3379 | 2016-10-07 |
| 1881043636 | Amy Sandy | Physical Therapy Assistant | 18480 Cochran Blvd, Port Charlotte, FL 33948-3379 | 2016-06-11 |
| 1710343884 | Lindsey Tyson | Student in an Organized Health Care Education/Training Program | 18480 Cochran Blvd, Port Charlotte, FL 33948-3379 | 2016-01-05 |
| 1033586060 | Mary Samoge-wismer | Skilled Nursing Facility | 18480 Cochran Blvd, Port Charlotte, FL 33948-3379 | 2015-08-25 |
| 1013346691 | Bobbi Hawver | Nurse Practitioner | 18480 Cochran Blvd, Port Charlotte, FL 33948-3379 | 2013-11-05 |
| 1043647126 | Mark Role | Physical Therapy Assistant | 18480 Cochran Blvd, Port Charlotte, FL 33948-3379 | 2013-10-03 |
| 1720422629 | Renee A Cassidy | Occupational Therapy Assistant | 18480 Cochran Blvd, Port Charlotte, FL 33948-3379 | 2013-04-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750926705 | Kelli Sue Boley | Pharmacist | 19100 Murdock Circle, Port Charlotte, FL 33948 | 2019-11-14 |
| 1013469709 | Daria Erdmann | Counselor | 1720 El Jobean Rd Unit 200, Port Charlotte, FL 33948 | 2016-10-27 |
| 1699172270 | Best Hearing Aid Solutions, Inc | Hearing Instrument Specialist | 1931 Tamiami Tr #7, Port Charlotte, FL 33948 | 2014-11-26 |
| 1811331283 | Nic 4 Village Place Leasing LLC | Assisted Living Facility | 18400 Cochran Blvd., Port Charlotte, FL 33948 | 2013-04-29 |
| 1215277686 | Sarah Anne Baker | Physical Therapy Assistant | 18480 Corcoran Blvd., Port Charlotte, FL 33948 | 2013-02-22 |
| 1023362373 | Clement Gustavous Smith | Adult Companion | 3081 Jody Street, Port Charlotte, FL 33948 | 2012-11-07 |
| 1306106232 | Charlotte County Family Ymca, Inc | Physical Therapist | 19333 Quesada Ave, Port Charlotte, FL 33948 | 2012-05-25 |
| 1043529738 | Dynamic Dental Health Associates of Florida, Pa | Dentist | 3280 Tamiami Trail # 56, Port Charlotte, FL 33948 | 2010-09-29 |
| 1508099847 | Victoria Lynn Wagner | Hearing Instrument Specialist | 1441 Tamiami Trail, #491, Port Charlotte, FL 33948 | 2009-09-03 |
| 1902060601 | Domingo E Galliano Jr Pa | Surgery | 18308 Murdock Circle 108, Domingo E Galliano Jr Md Pa, Port Charlotte, FL 33948 | 2008-07-11 |
| Find all providers in zip 33948 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881139590 | Deborah Schuetze | Occupational Therapy Assistant | 5265 Forbes Ter, Port Charlotte, FL 33981-2248 | 2017-01-04 |
| 1790056943 | Karl B. Bradley Chorlton | Occupational Therapy Assistant | 24131 Buckingham Way, Port Charlotte, FL 33980-5516 | 2012-01-19 |
| 1821204975 | Sharon M Lazenby | Occupational Therapy Assistant | 10506 Riverside Rd, Port Charlotte, FL 33981-5128 | 2007-05-15 |
| 1194325662 | Diana Lynn Visser-fartek | Occupational Therapy Assistant | 4000 Kings Hwy, Port Charlotte, FL 33980-8718 | 2020-10-26 |
| 1922588854 | Ashley Marie Bowman | Occupational Therapy Assistant | 4000 Kings Hwy, Port Charlotte, FL 33980-8718 | 2018-08-20 |
| 1730624842 | Brittany Roy | Occupational Therapy Assistant | 18480 Cochran Blvd, Port Charlotte, FL 33948-3379 | 2016-12-28 |
| 1720422629 | Renee A Cassidy | Occupational Therapy Assistant | 18480 Cochran Blvd, Port Charlotte, FL 33948-3379 | 2013-04-22 |
| 1700118742 | Luigi Amabile Jr. | Occupational Therapy Assistant | 25325 Rampart Blvd, Port Charlotte, FL 33983-6404 | 2010-02-02 |
| 1629200019 | Sherry Stiltner Fletcher | Occupational Therapy Assistant | 2305 Aaron St, Port Charlotte, FL 33952-5346 | 2009-08-18 |
| 1841488475 | Jennifer A Cooley | Occupational Therapy Assistant | 23013 Westchester Blvd, Port Charlotte, FL 33980-8448 | 2007-10-09 |
| Find all providers in PORT CHARLOTTE | ||||
| City | PORT CHARLOTTE |
| Zip Code | 33948 |
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| 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.