NPI age
18 years
Enumerated 2007-12-11
● Active Type 2 · Organization
Tyler Office Of Pediatrics P A
Tyler Office Of Pediatrics P A is 1 of 4038 specialist organizations in Texas.
Primary specialty
Specialist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Smith
Owner/physician
Last NPPES update
2012-04-09
Source: monthly bulk 2026-05
How this organization compares
Across 4038 active specialist providers in Texas.
NPI age
18 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-12Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
4801 Troup Hwy, Suite 301
Tyler, TX 757032356
Mailing address
Po Box 131866
Tyler, TX 757131866
Authorized official
Jeffrey P Smith, M.D.
Owner/physician
📞 9035953220
Individual providers at this organization
20 individual providers on file at this primary practice address.
- Charleigh Baggett, PTA Physical Therapy Assistant NPI 1902110349
- Veronika Bailey, M.S. CCC-SLP Speech-Language Pathologist NPI 1144622283
- Teralyn Barron Occupational Therapist NPI 1376667006
- Jerry Bettinger, M.D. Psychiatry & Neurology NPI 1427038801
- Shanda Boddie Specialist/Technologist NPI 1750568135
- Scott Boerger, LPTA Physical Therapy Assistant NPI 1699947028
- Shannon Brown, PT Physical Therapist NPI 1164695714
- Shauna Brown Occupational Therapist NPI 1891049045
- Lauren Bush Occupational Therapist NPI 1083925077
- Sandra Collins, OT Occupational Therapist NPI 1093960155
- Caterina Davis Occupational Therapy Assistant NPI 1467709782
- Ashley Dickens, PTA Physical Therapy Assistant NPI 1518115823
- Dale Dupont Occupational Therapist NPI 1598024002
- Andrea Edmondson, MA CF-SLP Speech-Language Pathologist NPI 1659533750
- Diana Germann, COTA Occupational Therapy Assistant NPI 1164692992
- Holli Gill Speech-Language Pathologist NPI 1366674871
- Dawn Gober, PTA Physical Therapy Assistant NPI 1730351461
- Bobbie Groves Speech-Language Pathologist NPI 1346597085
- Chelsey Hoffman Physical Therapist NPI 1750635322
- Mellissa Jones, PTA Physical Therapy Assistant NPI 1942518592
Specialties
-
Specialist PrimaryAn individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 118586004 | |
| 05 (TX) | 043902803 |
Practice context
Multi-provider organization. 20 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.