Individual provider Active NPI

Tyler A Ganelli, OTR

  • Hand Occupational Therapist
  • Beachwood, OH
National Provider Identifier
1174069827
Registry record updated Jan 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
OTR009268 Issued in OH
Practice address
24400 Highpoint Rd
Suite 10
Beachwood, OH 44122-6054
Phone
(216) 896-0824
Fax
(216) 896-0825
NPI assigned
Jan 18, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X OTR009268 OH Primary

Addresses

Primary practice location

24400 Highpoint Rd
Suite 10
Beachwood, OH 44122-6054

Mailing address

24400 Highpoint Rd
Suite 10
Beachwood, OH 44122-6054
Phone (216) 896-0824

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170303001832 OH Practitioner - Occupational Therapist in Private Practice 7214211556 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedic Associates, Inc.Group PAC ID 8123915840, 15 clinicians

Practice addresses (Care Compare)

1502 Travelers PT
Avon, OH 44011-4046
Phone (440) 892-1440

24723 Detroit Rd
Westlake, OH 44145-2526
Phone (440) 892-1440

Merit-based Incentive Payment System (MIPS)

Final score
78.34 of 100Reported as group
Quality
59.29
Promoting interoperability
100
Improvement activities
40
Cost
68.52

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OTR009268OHMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Associates, Inc CurrentSince Jan 16, 2017 Accepting new patients
Orthopaedic Associates, Inc CurrentSince Jan 16, 2017 Accepting new patients
Orthopaedic Associates, Inc. Past Accepting new patients

Locations

1502 Travelers Pt
Avon, OH 44011
Phone (440) 892-1440

24723 Detroit Rd
Westlake, OH 44145
Phone (440) 892-1440

Organizations & group practices 3

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": "1484697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484697600000",
    "number": "1174069827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24400 HIGHPOINT RD",
            "address_2": "SUITE 10",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441226054",
            "telephone_number": "216-896-0824",
            "fax_number": "216-896-0825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24400 HIGHPOINT RD",
            "address_2": "SUITE 10",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441226054",
            "telephone_number": "216-896-0824",
            "fax_number": "216-896-0825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANELLI",
        "first_name": "TYLER",
        "middle_name": "A",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-18",
        "last_updated": "2017-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "OH",
            "license": "OTR009268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.