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

Individual provider Occupational Therapist · NPI 1760595722

Nicole D Tyra, OT is an Occupational Therapist in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
What do these letters mean?
OT — Occupational Therapist
Helps people regain the skills needed for daily living and work.

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Practice location Address checks out

2001 Vail Ave
Charlotte, NC 28207-1219
Phone: (704) 379-5632
Fax: (704) 355-4231
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 5357 (NC)

Record details

NPI number1760595722
Entity typeIndividual (Type 1)
GenderFemale
Credentials OT
Sole proprietorNo
NPI enumeratedAugust 16, 2006
Last updated in NPPESJuly 8, 2007

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