NPIMap

Individual provider Active NPI

Tyler Schorr, OT

  • Occupational Therapist
  • Springfield, VA
National Provider Identifier
1003194119
Registry record updated Jul 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0119005395 Issued in VA
Practice address
5501 Backlick Rd
Suite 118
Springfield, VA 22151-3933
Phone
(703) 750-1204
Fax
(703) 750-1206
NPI assigned
Jul 25, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 0119005395 VA Primary

Addresses

Primary practice location

5501 Backlick Rd
Suite 118
Springfield, VA 22151-3933

Mailing address

9914 Fairfax SQ
Apt 66
Fairfax, VA 22031-4214
Phone (301) 559-3199

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0119005395VAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Rehabilitation, LLC Occupational Therapist PastSince Jul 13, 2012 Accepting new patients
Alliance Rehabilitation, LLC Occupational Therapist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1311552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311552000000",
    "number": "1003194119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9914 FAIRFAX SQ",
            "address_2": "APT 66",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314214",
            "telephone_number": "301-559-3199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 BACKLICK RD",
            "address_2": "SUITE 118",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221513933",
            "telephone_number": "703-750-1204",
            "fax_number": "703-750-1206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHORR",
        "first_name": "TYLER",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-25",
        "last_updated": "2011-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119005395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.