Tyler Rose Burton, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

026764 Issued in NY

Practice address

77 Veterans Memorial Hwy Ste 5
Commack, NY 11725-3410

Phone

(631) 499-4344

NPI assigned

May 1, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pediatric Physical Therapy Associates of Western Suffolk, P.C.

  • Early Intervention Provider Agency
  • Commack, NY
  • NPI 1659549160
  NPD (past)

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

{
    "created_epoch": "1651363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651363200000",
    "number": "1487399770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 GLADES WAY",
            "city": "HALESITE",
            "state": "NY",
            "postal_code": "117432133",
            "telephone_number": "631-903-7877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 VETERANS MEMORIAL HWY STE 5",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117253410",
            "telephone_number": "631-499-4344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURTON",
        "first_name": "TYLER",
        "middle_name": "ROSE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-01",
        "last_updated": "2022-05-01",
        "certification_date": "2022-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "026764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONAL THERAPY LICENSE",
            "identifier": "026764",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kisha Burke, LMHC-D
• Denise K Burns, D.O., F.A.A.O.
• Michael Stuart Burns, LCSW
• Edward A Buro, DPM
• Audrey Buron
• Demeetrio Butler
• Scott Buzin, D.O.
• Jacquelyn Byrne
• C Corina Gerontis MD PC
• C&T Mental Health Counseling

• Occupational Therapist in Commack, NY
• Providers in Commack, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2022; 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.