Individual provider Active NPI

Trevor James Tyner, D.O.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Boynton Beach, FL
National Provider Identifier
1013365758
Registry record updated Aug 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
OS16926 Issued in FL
Practice address
1880 N Congress Ave Ste 224
Boynton Beach, FL 33426-8675
Phone
(833) 633-7760
NPI assigned
Jun 2, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X OS16926 FL Primary

Addresses

Primary practice location

1880 N Congress Ave Ste 224
Boynton Beach, FL 33426-8675

Mailing address

1880 N Congress Ave Ste 224
Boynton Beach, FL 33426-8675
Phone (833) 633-7760

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231120003367 FL Practitioner - Physical Medicine and RehabilitationPractitioner - Interventional Pain Management 0648563536 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Lake Erie College of Osteopathic Medicine, Erie, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1880 N Congress Ave
Suite 224
Boynton Beach, FL 33426-8675
Phone (833) 633-7760

5301 S Congress Ave
Atlantis, FL 33462-1149
Phone (561) 271-5965

Hospital & facility affiliations

  • All About You Home Health Agency Inc Home health agency, Boca Raton, FL, CCN 109462
  • HCA Florida JFK Hospital Hospital, Atlantis, FL, CCN 100080
  • HCA Florida JFK Hospital Inpatient rehabilitation facility, Atlantis, FL, CCN 10T080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS16926FLMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Med-Pro Medical Group Inc Pain Medicine CurrentSince Sep 1, 2023 Accepting new patients
Tyner Health Care LLC Pain Medicine CurrentSince Apr 28, 2025 Accepting new patients

Locations

1880 N Congress Ave
Ste 224
Boynton Beach, FL 33426
Phone (561) 737-4606

5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549

Networks

  • Freedom Health HMO Network
  • FL HMO C-SNP
  • FL HMO D-SNP
  • FL HMO
  • FL PPO

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1464825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692316800000",
    "number": "1013365758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 N CONGRESS AVE STE 224",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268675",
            "telephone_number": "833-633-7760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 N CONGRESS AVE STE 224",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268675",
            "telephone_number": "833-633-7760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYNER",
        "first_name": "TREVOR",
        "middle_name": "JAMES",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-02",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "FL",
            "license": "OS16926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.