Individual provider Active NPI

Tyler Brooks Vealey, OTR/L , CHT

  • Occupational Therapist
  • Clearwater, FL
National Provider Identifier
1588046940
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT12033 Issued in FL
Practice address
430 Morton Plant St Ste 301
Clearwater, FL 33756-3395
Phone
(727) 461-6026
Fax
(727) 461-1492
NPI assigned
Jun 22, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 OT12033 FL Primary

Addresses

Primary practice location

430 Morton Plant St Ste 301
Clearwater, FL 33756-3395

Mailing address

430 Morton Plant St
Suite 301
Clearwater, FL 33756-3398
Phone (727) 461-6026

Other practice location 1

430 Morton Plant St
Clearwater, FL 33756-3398
Phone (727) 461-6026

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170119002365 FL Practitioner - Occupational Therapist in Private Practice 4880976299 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tallahassee Orthopedic Clinic III PLGroup PAC ID 4284532755, 538 clinicians

Practice addresses (Care Compare)

2414 Enterprise Rd
Florida Orthopaedic Institute
Clearwater, FL 33763-1751
Phone (813) 978-9700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tallahassee Orthopedic Clinic III, P.L. CurrentSince Sep 18, 2024 Accepting new patients
Musculoskeletal Institute Chartered Occupational Therapist Current Accepting new patients
Tallahassee Orthopedic Clinic III PL CurrentSince Sep 18, 2024 Accepting new patients

Locations

430 Morton Plant St
Ste 301
Clearwater, FL 33756

430 Morton Plant St
Clearwater, FL 33756
Phone (727) 461-8360

2414 Enterprise Rd
Clearwater, FL 33763
Phone (727) 796-4345

2414 Enterprise Rd
Fl Orthopaedic
Clearwater, FL 33763

4600 4th St N
St Petersburg, FL 33703

3334 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 210-1808

13060 N Telecom Pkwy
Fl Orthopaedic
Temple Terrace, FL 33637

13020 N Telecom Pkwy
Fl Orthopaedic
Temple Terrace, FL 33637

2044 Trinity Oaks Blvd
Ste 110
Trinity, FL 34655
Phone (813) 978-7000

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1588046940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 MORTON PLANT ST",
            "address_2": "SUITE 301",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563398",
            "telephone_number": "727-461-6026",
            "fax_number": "727-461-1492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 MORTON PLANT ST STE 301",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563395",
            "telephone_number": "727-461-6026",
            "fax_number": "727-461-1492"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "430 Morton Plant St",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337563398",
            "country_code": "US",
            "telephone_number": "727-461-6026",
            "fax_number": "727-461-1492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VEALEY",
        "first_name": "TYLER",
        "middle_name": "BROOKS",
        "credential": "OTR/L , CHT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-22",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT12033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.