MISS HEIDI LYNN TYSON (OTR/L) – Occupational Therapist, NPI 1174798292

MISS HEIDI LYNN TYSON (OTR/L) is a healthcare provider. based in Shalimar, Florida. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OTR/L. They hold a License No. 4605 (NC). The NPI Number for MISS HEIDI LYNN TYSON (OTR/L) is 1174798292

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
MISS HEIDI LYNN TYSON (OTR/L)
NPI
1174798292
Phone
(803) 230-4279
Address
2807 ARNOLD PALMER CT
Enumeration Date
29 April 2008
Last Update Date
29 December 2020

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Secondary Phone
50322101612110
Graduation Year
1999 (27 years ago)
PAC ID
1658540521
Group Practice PAC ID
8224942867
Professional Enrollment ID
I20131227000292
Address ID
OR972051902PO800XXAVEX400

Contacts

Secure Messaging
htyson12812@direct.theportlandclinic.net
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:18State licenses:2Other namesUpdated within 12 months

630 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in NC

Provider Addresses for MISS HEIDI LYNN TYSON (OTR/L)

  • 2807 ARNOLD PALMER CT

    SHALIMAR, FL 325792238

    Phone: (803) 230-4279

    Type: Mailing

  • 95 HOLCOMBE COVE RD

    CANDLER, NC 287159450

    Phone: (828) 665-9849

    Fax: (828) 665-9711

    Type: Location

  • 800 SW 13TH AVE

    PORTLAND, OR 972051902

    Phone: (503) 221-0161

    Type: Mailing

  • 9250 SW HALL BLVD

    TIGARD, OR 972236721

    Phone: (503) 293-0161

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-08-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20131227000292IOccupational Therapist In Private PracticeORTBD
I20180801000541IOccupational Therapist In Private PracticeTNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes18536$0
97165Evaluation for occupational therapy, typically 30 minutes3230$0
97530Therapy procedure using functional activities2813$0
View full utilization report →

Insurance plans in this area (ZIP 32579)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8224942867View full group profile
NameSpecialtyState
Family PracticeOR
O B S T E T R I C S/ G Y N E C O L O G YOR
-OR
Sports MedicineOR
-OR
Physician AssistantOR
Physician AssistantOR
Nurse PractitionerOR
O P T O M E T R YOR
O B S T E T R I C S/ G Y N E C O L O G YOR

Reviews

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Frequently asked questions

Is MISS HEIDI LYNN TYSON (OTR/L) listed with a National Provider Identifier?
Yes — MISS HEIDI LYNN TYSON (OTR/L) has NPI 1174798292 on file in the registry.
Is MISS HEIDI LYNN TYSON (OTR/L) still an active registrant?
MISS HEIDI LYNN TYSON (OTR/L) carries an active NPI according to the public dataset.
What clinical focus is listed for MISS HEIDI LYNN TYSON (OTR/L)?
At a glance, MISS HEIDI LYNN TYSON (OTR/L) is tied to Occupational Therapist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MISS HEIDI LYNN TYSON (OTR/L)?
Travel planning: use Shalimar, Florida as the reference point for MISS HEIDI LYNN TYSON (OTR/L), then confirm.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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