Active NPI
Todd Otto Byrne, OTR, CHT
- Hand Occupational Therapist
- Tyler, TX
National Provider Identifier
1952351595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- 108108
- Practice address
- 6013 S Broadway Ave
Tyler, TX 75703-4410 - Phone
- (903) 363-9932
- Fax
- (800) 503-4607
- NPI assigned
- May 12, 2006
- Last updated
- Aug 6, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 108108 | TX | |
| Hand Occupational Therapist | 225XH1200X | 108108 | TX | Primary |
Addresses
Primary practice location
6013 S Broadway Ave
Tyler, TX 75703-4410
Mailing address
2900 S Cameron Ave
Tyler, TX 75701-7161
Phone (903) 780-8957
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrity Family Home Care LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375747200000",
"number": "1952351595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 S CAMERON AVE",
"city": "TYLER",
"state": "TX",
"postal_code": "757017161",
"telephone_number": "903-780-8957",
"fax_number": "903-787-7796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6013 S BROADWAY AVE",
"city": "TYLER",
"state": "TX",
"postal_code": "757034410",
"telephone_number": "903-363-9932",
"fax_number": "800-503-4607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYRNE",
"first_name": "TODD",
"middle_name": "OTTO",
"name_prefix": "Mr.",
"credential": "OTR, CHT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-12",
"last_updated": "2013-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "108108",
"primary": false
},
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "TX",
"license": "108108",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.