Healthcare Provider Details

I. General information

NPI: 1972199453
Provider Name (Legal Business Name): TYLER MYERS OTR/L
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/18/2020
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17015 OLD ORCHARD RD UNIT 1
LEWES DE
19958-4849
US

IV. Provider business mailing address

211 EXECUTIVE DR STE 11
NEWARK DE
19702-3358
US

V. Phone/Fax

Practice location:
  • Phone: 302-444-8246
  • Fax: 302-380-4201
Mailing address:
  • Phone: 302-731-2888
  • Fax: 302-644-3300

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberU1-0012234
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: