Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Tyra M Banks, MS, OTR/L

Individual provider Contractor · NPI 1770738841

Mrs. Tyra M Banks, MS, OTR/L is a Contractor in Baldwin, New York. Practices as a sole proprietor. Licensed in New Jersey and New York.

Licensed in
NJ, NY
In the registry since
2008
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

3512 Milburn Ave
Baldwin, NY 11510
Phone: (516) 860-9677
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X · Licence 011886-1 (NY)
Contractor Taxonomy 171W00000X · Licence 46TR00478900 (NJ)

Record details

NPI number1770738841
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , OTR/L
Sole proprietorYes
NPI enumeratedNovember 17, 2008
Last updated in NPPESJuly 9, 2018

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