Tyler Scott Booth, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTR4041 Issued in AR

Practice address

401 S Main St
Cave City, AR 72521-9507

Phone

(870) 847-3147

NPI assigned

May 16, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Gross Therapy Services, Inc.

  • Physical Therapist
  • Mountain Home, AR
  • NPI 1033236468

  Occupational Therapy Assistant

  Medicare reassignment NPD

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

{
    "created_epoch": "1400198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1700297397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 104",
            "city": "CAVE CITY",
            "state": "AR",
            "postal_code": "725210104",
            "telephone_number": "870-847-3147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S MAIN ST",
            "city": "CAVE CITY",
            "state": "AR",
            "postal_code": "725219507",
            "telephone_number": "870-847-3147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOTH",
        "first_name": "TYLER",
        "middle_name": "SCOTT",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-16",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR4041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Access Medical Clinic Arkansas LTC LLC
• Thomas N. Adams, PTA
• Matthew Barnett, NP
• Best Care Transportation LLC
• Jessica Booth, COTA/L
• Brooklyn Brinkley
• Vashti Burns
• Scarlett A Callen, LMT
• Gracen Caraway
• Cave City Nursing Home, Inc

• Occupational Therapist in Cave City, AR
• Providers in Cave City, AR by specialty
• Occupational Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.