Active NPI
Tyler Bryan Avey, COTA
- Occupational Therapy Assistant
- Elgin, TX
National Provider Identifier
1851870489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 212902
- Practice address
- 1373 N Avenue C
Elgin, TX 78621-1528 - Phone
- (512) 285-2475
- NPI assigned
- Aug 14, 2018
- Last updated
- Aug 14, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 212902 | TX | Primary |
Addresses
Primary practice location
1373 N Avenue C
Elgin, TX 78621-1528
Mailing address
12007 Captain Bailys CT
Austin, TX 78753-6901
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
| License | State | Type | Specialty |
|---|---|---|---|
| 212902 | TX | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534204800000",
"number": "1851870489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12007 CAPTAIN BAILYS CT",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787536901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1373 N AVENUE C",
"city": "ELGIN",
"state": "TX",
"postal_code": "786211528",
"telephone_number": "512-285-2475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVEY",
"first_name": "TYLER",
"middle_name": "BRYAN",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-14",
"last_updated": "2018-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "TX",
"license": "212902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elgin, TX
- Christina Leanne Anderson, BSN, RN
- Angel Grove Investments LLC (American Ramp Services of Austin)
- Ascension Seton (Ascension Seton Elgin Health Center)
- Austin Physiatry LLC
- Melissa Spease Avery, MA CCC-SLP
- Diana Balli-Glynn
- Tonya Comaneci Barnes
- Stanley Glenn Bell, MA, LBSW, CRC, LPC
- Bellflower Speech, Language & Literacy
- Cherie Bennett, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.