Eric Dyer, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5346 Issued in TN

Practice address

2412 Knob Creek Rd
Johnson City, TN 37604-2586

Phone

(423) 736-8142

NPI assigned

Oct 7, 2018

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)

Enrolled

State licenses

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

{
    "created_epoch": "1538870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538870400000",
    "number": "1295200111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 RIDGECREST RD",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376047729",
            "telephone_number": "423-736-8142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2412 KNOB CREEK RD",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042586",
            "telephone_number": "423-736-8142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYER",
        "first_name": "ERIC",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-07",
        "last_updated": "2018-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "5346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Carla Durall, MA
• Morgan Blake Durant, PMHNP-BC
• Kathryn Cifelli Durbin
• Alexis Hodge Duty, FNP
• Seth Patrick Duty, CRNA
• William H. Dyer II, D.D.S.
• Amber Dykes
• Angela Dykes
• James T Dykes, MD
• Parker Dykes

• Occupational Therapist in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Occupational Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2018; 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.