Active NPI
Tyler Peeler, OT
- Occupational Therapist
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 14516
- Practice address
- 9216 Ardrey Kell Rd Ste 300
Charlotte, NC 28277-4954 - Phone
- (980) 556-7330
- NPI assigned
- Dec 1, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT.6371OT | SC | |
| Occupational Therapist | 225X00000X | 14516 | NC | Primary |
Addresses
Primary practice location
9216 Ardrey Kell Rd Ste 300
Charlotte, NC 28277-4954
Mailing address
1311 Mamaroneck Ave Ste 140
White Plains, NY 10605-5224
Other practice location 1
214 18th St SE
Hickory, NC 28602-1363
Phone (828) 485-2160
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9216 Ardrey Kell Rd
Suite 300
Charlotte, NC 28277-4954
Phone (980) 556-7330
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14516 | NC | MD | Occupational Therapist |
| OT.6371OT | SC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivyrehab North Carolina LLC | Current | Accepting new patients | |
| Ivyrehab North Carolina LLC | Current | Accepting new patients |
Locations
9216 Ardrey Kell Rd
Ste 300
Charlotte, NC 28277
Phone (980) 556-7330
5960 Fairview Rd
Ste 250
Charlotte, NC 28210
Phone (980) 224-7958
1129 E Marion St
Shelby, NC 28150
Phone (704) 471-0001
1311 Mamaroneck Ave
Ste 140
White Plains, NY 10605
Phone (914) 265-4838
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Medicine & Rehabilitation Physician
- Charlotte, NC
- NPI 1629568647
-
- Physical Medicine & Rehabilitation Physician
- Charlotte, NC
- NPI 1528683935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691971200000",
"number": "1336807908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1311 MAMARONECK AVE STE 140",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106055224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9216 ARDREY KELL RD STE 300",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282774954",
"telephone_number": "980-556-7330"
}
],
"practiceLocations": [
{
"address_1": "214 18th St SE",
"address_purpose": "LOCATION",
"city": "Hickory",
"state": "NC",
"postal_code": "286021363",
"country_code": "US",
"telephone_number": "828-485-2160",
"fax_number": "828-485-2161",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEELER",
"first_name": "TYLER",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-12-01",
"last_updated": "2023-08-14",
"certification_date": "2023-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SC",
"license": "OT.6371OT",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "14516",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.