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TYLER JAY STALEY M.D. NPI 1013189877


NPI Information

NPI: 1013189877
Provider Name: TYLER JAY STALEY, M.D.
Classification: Physical Medicine & Rehabilitation - 2081S0010X
Entity Type: Individual

Specialization: Sports Medicine

PECOS Registration: Yes

Address:
350 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL
ZIP 32114
Phone: (386) 238-3290
Get Directions

Tyler Jay Staley, M.D. is a sports medicine physical medicine rehabilitation in Daytona Beach, FL. The provider is a physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. Tyler Jay Staley, M.D. NPI is 1013189877. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

350 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL
ZIP 32114-733
Phone: (386) 238-3290
Fax: (386) 238-3278

The NPI 1013189877 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/1/2008 and was last updated on 7/11/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208100000XPhysical Medicine & Rehabilitation44335KENTUCKYNo
22081S0010XPhysical Medicine & RehabilitationSports Medicine112139FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11013189877OTHERFLORIDATRICARE
214MV1OTHERFLORIDABCBS
3007276600MEDICAIDFLORIDA
4GV273ZMEDICARE PINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.