Tyler James Moskalick, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

31008270A Issued in IN

Practice address

551 Eastport Centre Dr
Valparaiso, IN 46383-2898

Phone

(219) 255-2454

Fax

(317) 520-8200

NPI assigned

Dec 14, 2023

Sex

Male

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

Practice roles

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.

• Hopebridge, LLC

  • Child & Adolescent Psychiatry Physician
  • Kokomo, IN
  • NPI 1891820668

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1702512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1164290631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 DEPAUW BLVD STE 3070",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462686135",
            "telephone_number": "855-324-0885",
            "fax_number": "317-520-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 EASTPORT CENTRE DR",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463832898",
            "telephone_number": "219-255-2454",
            "fax_number": "317-520-8200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1579 S Folsomville Rd",
            "address_purpose": "LOCATION",
            "city": "Boonville",
            "state": "IN",
            "postal_code": "476019465",
            "country_code": "US",
            "telephone_number": "812-897-4840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSKALICK",
        "first_name": "TYLER",
        "middle_name": "JAMES",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-14",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31008270A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angel Moreno
• Peggy Ann Morningstar, B.S.
• Mandy Meggens Morrill-Richards, LMHC , NCC
• Morris Transportation Corp
• James Moses
• Jennifer Mott, SLP
• Janet Moy, DO
• Nicole Moy
• Jamie Lynn Mullenhour, LMHC
• Candace Mulzon

• Occupational Therapist in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• Occupational Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; 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.