Active NPI
Erin Tyre, OTR/L
- Pediatric Occupational Therapist
- Yulee, FL
National Provider Identifier
1891093308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT16761
- Practice address
- 861074 Worthington Dr
Yulee, FL 32097-3426 - Phone
- (706) 525-8210
- NPI assigned
- Mar 8, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OT16761 | FL | Primary |
| Pediatric Occupational Therapist | 225XP0200X | OT005227 | GA |
Addresses
Primary practice location
861074 Worthington Dr
Yulee, FL 32097-3426
Mailing address
861074 Worthington Dr
Yulee, FL 32097-3426
Phone (706) 525-8210
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 014464000 | Medicaid | FL |
Other names 1
- Miss Erin Ecker
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 |
|---|---|---|---|
| OT16761 | FL | MD | Pediatric Occupational Therapist |
| OT005227 | GA | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430179200000",
"number": "1891093308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "861074 WORTHINGTON DR",
"city": "YULEE",
"state": "FL",
"postal_code": "320973426",
"telephone_number": "706-525-8210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "861074 WORTHINGTON DR",
"city": "YULEE",
"state": "FL",
"postal_code": "320973426",
"telephone_number": "706-525-8210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYRE",
"first_name": "ERIN",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-08",
"last_updated": "2015-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "FL",
"license": "OT16761",
"primary": true
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "GA",
"license": "OT005227",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "014464000",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ERIN",
"last_name": "ECKER",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Yulee, FL
- Brian Toupin, M.D.
- Geovanna Towers, MS SLP CCC
- Falyn A Turner, RBT
- Harry Spencer Turner, MD
- Tyre Chiropractic LLC
- Keith Lee Tyre, D.C.
- University of Florida Jacksonville Physicians Inc
- University of Florida Jacksonville Physicians, Inc
- University of Florida Jacksonville Physicians, Inc.
- University of Florida Jacksonville Physicians, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.