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

Individual provider Occupational Therapy Assistant · NPI 1578354452

Tyler Smith, OTA/L is an Occupational Therapy Assistant in Wilmington, North Carolina. Practices as a sole proprietor. Licensed in North Dakota.

Licensed in
ND
In the registry since
2025
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Practice location Address checks out

1011 Porters Neck Rd
Wilmington, NC 28411
Phone: (910) 622-2279
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 11827 (ND)

Record details

NPI number1578354452
Entity typeIndividual (Type 1)
GenderMale
Credentials OTA/L
Sole proprietorYes
NPI enumeratedMay 13, 2025
Last updated in NPPESMay 13, 2025
Certification dateMay 1, 2025

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