KELLY TYLER (NPI# 1982145397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982145397 |
| Entity Type | Individual |
| Full Name | KELLY TYLER |
| Practice Address |
3760 Convoy St Ste 204 San Diego CA 92111-3744 |
| Mailing Address |
1086 Quail Gardens Ct Encinitas CA 92024-2782 |
| Practice Telephone | 8585140375 |
| Enumeration Date | 2017-03-17 |
| Last Update Date | 2017-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OT17193 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720634512 | Kelly Nadine Tyler | Counselor | 200 S Broad St Ste 7, New Orleans, LA 70119-6447 | 2019-08-16 |
| 1447502497 | Kelly Tyler | Social Worker | 130 Maple St, Springfield, MA 01103-2202 | 2012-10-15 |
| 1235396334 | Kelly Ann Tyler | Psychiatry & Neurology | 570 W Brown Rd, Mesa, AZ 85201-3227 | 2008-05-18 |
| 1235335795 | Kelly M Tyler | Surgery | 2 Medical Center Dr, Suite 308, Springfield, MA 01107-1270 | 2007-06-22 |
| 1952523722 | Kelly Hoskins Tyler | Dermatology | 270 E Town St, Columbus, OH 43215-4602 | 2007-05-02 |
| Street Address |
3760 CONVOY ST STE 204 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92111-3744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518146067 | Arlin C Libertino | Physical Therapist | 3760 Convoy St Ste 204, San Diego, CA 92111-3744 | 2007-11-01 |
| 1265086243 | Rebecca Edith Buza | Occupational Therapist | 3760 Convoy St Ste 204, San Diego, CA 92111-3744 | 2019-07-29 |
| 1407311640 | Natalie Jean Sullivan | Speech-Language Pathologist | 3760 Convoy St Ste 204, San Diego, CA 92111-3744 | 2019-02-01 |
| 1164926218 | Katherine Joan Simmons | Speech-Language Pathologist | 3760 Convoy St Ste 204, San Diego, CA 92111-3744 | 2018-03-22 |
| 1881114163 | Cynthia Yonan | Speech-Language Pathologist | 3760 Convoy St Ste 204, San Diego, CA 92111-3744 | 2017-06-27 |
| 1538689013 | Anna Magnuson | Occupational Therapist | 3760 Convoy St Ste 204, San Diego, CA 92111-3744 | 2017-06-26 |
| 1336677889 | Brian R White | Physical Therapist | 3760 Convoy St Ste 204, San Diego, CA 92111-3744 | 2017-05-29 |
| 1265960991 | Catherine Rostan | Speech-Language Pathologist | 3760 Convoy St Ste 204, San Diego, CA 92111-3744 | 2017-05-25 |
| 1811425549 | Casey Elizabeth Converse | Occupational Therapist | 3760 Convoy St Ste 204, San Diego, CA 92111-3744 | 2017-05-25 |
| 1679010151 | Krystle Desquitado | Physical Therapist | 3760 Convoy St Ste 204, San Diego, CA 92111-3744 | 2017-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982220653 | Karen Elizabeth Mitchell | Registered Nurse | County of San Diego California Children's Services (ccs, 6991 Balboa Ave, (room 70), San Diego, CA 92111 | 2020-06-18 |
| 1912523804 | Access Medical, Inc. | Durable Medical Equipment & Medical Supplies | 4150 Convoy Street, Suite A, San Diego, CA 92111 | 2020-06-17 |
| 1154944551 | Mei Ling Milan Szeto | Student in an Organized Health Care Education/Training Program | 7917 Ostrow Street, Suite A, San Diego, CA 92111 | 2020-05-20 |
| 1346893831 | Leticia Isabel Peralta | Assistant Behavior Analyst | 563 Balboa Avenue. Number 521, San Diego, CA 92111 | 2019-07-23 |
| 1295204394 | Demetria Serfas | Behavioral Analyst | 563 Balboa Ave #521, San Diego, CA 92111 | 2018-11-19 |
| 1568981678 | Ross Psychology | Psychologist | 4883 Ronson Court, Suite K, San Diego, CA 92111 | 2017-09-11 |
| 1225554587 | Bianca Acosta | Technician, Other | 563 Balboa Ave. #521, San Diego, CA 92111 | 2017-08-18 |
| 1194240085 | Kazuhiro Kato | Dentist | 3707 Convoy St., San Diego, CA 92111 | 2017-08-11 |
| 1073038527 | Joanne Epps-yentz | Licensed Vocational Nurse | 7414 Mesa College Dr. Apt 47, San Diego, CA 92111 | 2017-08-06 |
| 1184158446 | Positive Behavior Supports Corp | Community/Behavioral Health | 563 Balboa Ave, 521, San Diego, CA 92111 | 2017-04-13 |
| Find all providers in zip 92111 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and 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 therapists 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, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043826670 | Katrina Hagewood | Occupational Therapist | 12220 World Trade Dr Ste 130, San Diego, CA 92128-3900 | 2020-09-18 |
| 1750906889 | Caitlin Grace Turner | Occupational Therapist | 4672 Mount Putman Ct, San Diego, CA 92117-4751 | 2020-06-15 |
| 1205450715 | Rudo Oronde Adams | Occupational Therapist | 7017 Osler St, San Diego, CA 92111-5536 | 2020-05-31 |
| 1720607963 | Allison Brekke | Occupational Therapist | 438 W Date St Apt 1, San Diego, CA 92101-2528 | 2020-04-08 |
| 1326671025 | Jessica Welch | Occupational Therapist | 6262 Ferris Sq, San Diego, CA 92121-3205 | 2020-02-20 |
| 1275164030 | Katherine Manansala Macapinlac | Occupational Therapist | 10961 San Blas Cir, San Diego, CA 92126-2447 | 2020-01-30 |
| 1851921142 | Carly Ono | Occupational Therapist | 10760 Thornmint Rd Ste 132, San Diego, CA 92127-2700 | 2020-01-25 |
| 1124658729 | Kimberly Dyanne Gaudi | Occupational Therapist | 4421 47th St, San Diego, CA 92115-4516 | 2020-01-22 |
| 1861022816 | Priscilla Marina | Occupational Therapist | 12519 El Camino Real Unit G, San Diego, CA 92130-4027 | 2020-01-17 |
| 1699312702 | Katelyn Yeaman | Occupational Therapist | 4452 Highland Ave Apt 5, San Diego, CA 92115-4345 | 2019-12-08 |
| Find all providers in SAN DIEGO | ||||
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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.