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Tyson Dwayne Floyd, COTA/L

Occupational Therapy Assistant in Hoover, AL. Individual provider (NPI-1).

NPI number1831979798
StatusActive
Last updated in NPPESSep 28, 2023

Details

NPI
1831979798
Entity type
Individual (NPI-1)
Name
Mr. Tyson Dwayne Floyd
Credential
COTA/L
Sex
Male
Sole proprietor
No
Enumeration date
Sep 28, 2023
Certification date
Sep 28, 2023
Last updated
Sep 28, 2023

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
224Z00000X Occupational Therapy Assistant4761ALYes

Practice location

235 Inverness Center Dr
Hoover, AL 35242-4805

Phone 205-443-9500

Mailing address

225 Sunrise Dr
Odenville, AL 35120-5376

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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