Active NPI
Tai Lyell, PT, DPT
- Physical Therapist
- South Daytona, FL
National Provider Identifier
1447409693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 23618
- Practice address
- 917 Beville Rd
Ste G
South Daytona, FL 32119-1712 - Phone
- (800) 330-7711
- NPI assigned
- Sep 11, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 23618 | FL | Primary |
Addresses
Primary practice location
917 Beville Rd
Ste G
South Daytona, FL 32119-1712
Mailing address
15204 W Colonial Dr
Winter Garden, FL 34787-6042
Phone (407) 654-2640
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 23618 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508803200000",
"number": "1447409693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15204 W COLONIAL DR",
"city": "WINTER GARDEN",
"state": "FL",
"postal_code": "347876042",
"telephone_number": "407-654-2640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "917 BEVILLE RD",
"address_2": "STE G",
"city": "SOUTH DAYTONA",
"state": "FL",
"postal_code": "321191712",
"telephone_number": "800-330-7711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYELL",
"first_name": "TAI",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-11",
"last_updated": "2017-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT 23618",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Daytona, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.