Individual provider Active NPI

Tamera Yvette McNeil, OTR/L

  • Physical Rehabilitation Occupational Therapist
  • Walnut Creek, CA
National Provider Identifier
1760197834
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X
License
24574 Issued in CA
Practice address
2765 Mitchell Dr
Walnut Creek, CA 94598-1601
Phone
(925) 448-3782
NPI assigned
Jan 23, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Rehabilitation Occupational Therapist 225XP0019X 24574 CA Primary

Addresses

Primary practice location

2765 Mitchell Dr
Walnut Creek, CA 94598-1601

Mailing address

533 Blue Cypress Way
Hercules, CA 94547-2307
Phone (510) 334-9122

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Tymcneil@consonushealt.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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
24574CAMDPhysical Rehabilitation Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1760197834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 BLUE CYPRESS WAY",
            "city": "HERCULES",
            "state": "CA",
            "postal_code": "945472307",
            "telephone_number": "510-334-9122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2765 MITCHELL DR",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945981601",
            "telephone_number": "925-448-3782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNEIL",
        "first_name": "TAMERA",
        "middle_name": "YVETTE",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "CA",
            "license": "24574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Tymcneil@consonushealt.com",
            "affiliation": "N",
            "address_1": "2765 Mitchell Dr",
            "city": "Walnut Creek",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945981601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.