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

Tylar Mackenzie Fallaw, OT

Individual provider Occupational Therapist · NPI 1164002382

Tylar Mackenzie Fallaw, OT is an Occupational Therapist in Rome, Georgia. Licensed in Georgia. Registered with an NPI since 2021.

Licensed in
GA
In the registry since
2021
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

212 W 3rd St SW
Rome, GA 30165-2802
Phone: (706) 295-4260
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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 OT009572 (GA)

Record details

NPI number1164002382
Entity typeIndividual (Type 1)
GenderFemale
Credentials OT
Sole proprietorNo
NPI enumeratedApril 12, 2021
Last updated in NPPESJune 19, 2025
Certification dateJune 19, 2025
Mailing address212 W 3rd St Sw, Rome, GA 30165-2802

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