Tyler Earl, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA-1278 Issued in ID

Practice address

2303 Park Ave
Burley, ID 83318-2106

Phone

(208) 677-3073

NPI assigned

Dec 30, 2016

Last updated

Dec 30, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1483056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483056000000",
    "number": "1033654900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 PARK AVE",
            "city": "BURLEY",
            "state": "ID",
            "postal_code": "833182106",
            "telephone_number": "208-677-3073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 PARK AVE",
            "city": "BURLEY",
            "state": "ID",
            "postal_code": "833182106",
            "telephone_number": "208-677-3073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EARL",
        "first_name": "TYLER",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-30",
        "last_updated": "2016-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "ID",
            "license": "OTA-1278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. Brent S. Banner
• Charles Buchanan Drew, DDS
• Oliver Joseph Droefenu, PHARMD
• Trevor Dschaak
• Mark Lee Dunlap, N.D., C.A.C., L.M.T
• Deneb Edwards, M.T.
• Elizabeth Ashley Edwards, RN
• Michelle Eide, MD
• Elite Physical Therapy and Health, LLC
• Misty R Enger

• Occupational Therapy Assistant in Burley, ID
• Providers in Burley, ID by specialty
• Occupational Therapy Assistant in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2016; 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.