Shannon E Tyler
Individual provider Active NPI Environmental Modification Occupational Therapy Assistant · Goodview, VA
NPI 1467229153 · NPPES record last updated Dec 4, 2023
Key facts
- NPI
- 1467229153
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Environmental Modification Occupational Therapy Assistant 224ZE0001X
- Practice address
- 1681 Blankenship Rd
Goodview, VA 24095-2729 - Phone
- (540) 521-7447
- NPI assigned
- Dec 4, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Environmental Modification Occupational Therapy Assistant | 224ZE0001X | Yes |
Addresses
Primary practice location
1681 Blankenship Rd
Goodview, VA 24095-2729
Mailing address
1681 Blankenship Rd
Goodview, VA 24095-2729
Phone (540) 521-7447
Other providers in Goodview, VA
All providers in Goodview, VA · Environmental Modification Occupational Therapy Assistant in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.