Individual provider Active NPI

Tyler F Ward, OTR

  • Occupational Therapist
  • Paducah, KY
National Provider Identifier
1760026371
Registry record updated Nov 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
260111 Issued in KY
Practice address
2725 James Sanders Blvd Ste a
Paducah, KY 42001-8405
Phone
(270) 554-5114
Fax
(270) 215-4834
NPI assigned
Nov 6, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2019

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 260111 KY Primary

Addresses

Primary practice location

2725 James Sanders Blvd Ste a
Paducah, KY 42001-8405

Mailing address

2725 James Sanders Blvd Ste a
Paducah, KY 42001-8405
Phone (270) 554-5114

Other practice location 1

2537 Larkin Rd
Lexington, KY 40503-3201
Phone (859) 545-0043

Other practice location 2

1601 Highway 121 Byp N Ste B
Murray, KY 42071-8759
Phone (270) 554-5114

Other identifiers 1

IdentifierTypeStateIssuer
260111OtherKYLICENSE NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tward@imacpaducah.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1572998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1760026371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2725 JAMES SANDERS BLVD STE A",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420018405",
            "telephone_number": "270-554-5114",
            "fax_number": "270-215-4834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 JAMES SANDERS BLVD STE A",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420018405",
            "telephone_number": "270-554-5114",
            "fax_number": "270-215-4834"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2537 Larkin Rd",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405033201",
            "country_code": "US",
            "telephone_number": "859-545-0043",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1601 Highway 121 Byp N Ste B",
            "address_purpose": "LOCATION",
            "city": "Murray",
            "state": "KY",
            "postal_code": "420718759",
            "country_code": "US",
            "telephone_number": "270-554-5114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARD",
        "first_name": "TYLER",
        "middle_name": "F",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-06",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "260111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "260111",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tward@imacpaducah.com",
            "affiliation": "N",
            "address_1": "2725 James Sanders Blvd Ste A",
            "city": "Paducah",
            "state": "KY",
            "country_code": "US",
            "postal_code": "420018405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; 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.