Tyler McOmber, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

384952 Issued in ID

Practice address

267 N Canyon Dr
Gooding, ID 83330-5500

Phone

(208) 934-9693

NPI assigned

Sep 1, 2023

Last updated

Sep 1, 2023By the provider in NPPES

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

Enrolled in ID

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Canyon Medical Center IncGroup PAC ID 0941371439, 73 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• North Canyon Medical Center Inc.

  dba North Canyon Medical Center

  • Critical Access Hospital
  • Gooding, ID
  • NPI 1609046671
  Medicare reassignment Care Compare group NPD
• North Canyon Medical Center, Inc.

  dba North Canyon Buhl Clinic

  • Rural Health Clinic/Center
  • Buhl, ID
  • NPI 1568950566
  NPD
• North Canyon Medical Center, Inc.

  dba North Canyon Imaging Center Twin Falls

  • Radiology Clinic/Center
  • Twin Falls, ID
  • NPI 1700641636
  NPD
• North Canyon Medical Center, Inc

  dba North Canyon Medical Center

  • Specialist
  • Gooding, ID
  • NPI 1558679951
  NPD (past)
• Inland Cardiology Associates, P.S.

  • Cardiovascular Disease Physician
  • Spokane, WA
  • NPI 1679522106
  NPD (past)

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

{
    "created_epoch": "1693526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1346026747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 MONACO ST",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013137",
            "telephone_number": "208-490-4219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 N CANYON DR",
            "city": "GOODING",
            "state": "ID",
            "postal_code": "833305500",
            "telephone_number": "208-934-9693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCOMBER",
        "first_name": "TYLER",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-01",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ID",
            "license": "384952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Manning, COTA/L
• Mark C. Lambert, DMD PC (Gooding Family and Cosmetic Dentistry)
• John Mason, BA, CADC
• Amanda Marie McCrorey, SUDA
• Mark McMurdie, RN
• Francisca O Mendez
• Fred P Miller, FNP
• Marcy Lin Morrow, PAC
• Tyler Dawn Moulton, LCSW
• Aime Clarice Muntz, LMSW

• Occupational Therapist in Gooding, ID
• Providers in Gooding, ID by specialty
• Occupational Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.

Verify at the official NPI Registry.