Individual provider Active NPI

Tyler Simpson, MSOTRL

  • Occupational Therapist
  • Reese, MI
National Provider Identifier
1578832119
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201007900 Issued in MI
Practice address
1636 S Bradleyville Rd
Reese, MI 48757-9216
Phone
(989) 482-0145
NPI assigned
Dec 28, 2011
Last updated
Jun 10, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5201007900 MI Primary

Addresses

Primary practice location

1636 S Bradleyville Rd
Reese, MI 48757-9216

Mailing address

1636 S Bradleyville Rd
Reese, MI 48757-9216
Phone (989) 482-0145

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251119003390 MI Practitioner - Occupational Therapist in Private Practice 9234621020 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Saginaw Valley Medical College - NLG, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1636 S Bradleyville Rd
Reese, MI 48757-9216

7376 Glen Eagle Dr
Bay City, MI 48706-9316

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5201007900MIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Rehab LLC Occupational Therapist CurrentSince Nov 15, 2025 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1325030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1578832119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1636 S BRADLEYVILLE RD",
            "city": "REESE",
            "state": "MI",
            "postal_code": "487579216",
            "telephone_number": "989-482-0145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1636 S BRADLEYVILLE RD",
            "city": "REESE",
            "state": "MI",
            "postal_code": "487579216",
            "telephone_number": "989-482-0145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "TYLER",
        "credential": "MSOTRL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-28",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201007900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reese, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; 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.