Tyson Tabora DPM PA
NPI 1568964633 · Foot & Ankle Surgery Podiatrist · Loxahatchee, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tyson Tabora DPM PA is a Foot & Ankle Surgery Podiatrist organization in Loxahatchee, FL (NPI 1568964633).
Provider details
- NPI number
- 1568964633
- Entity type
- Organization
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Tyson Tabora, Owner/Physician(561) 809-2343
- License
- PO3687 (FL)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- The Foot and Ankle Clinic
Registry dates
- Enumerated
- 2018-03-05
- Last updated
- 2023-08-03
- Certified
- 2023-08-03
Frequently asked questions
- What is Tyson Tabora DPM PA's NPI number?
- Tyson Tabora DPM PA's National Provider Identifier (NPI) is 1568964633, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tyson Tabora DPM PA?
- Tyson Tabora DPM PA is classified in the NPPES registry as Foot & Ankle Surgery Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Tyson Tabora DPM PA located?
- Tyson Tabora DPM PA's practice location on file with NPPES is 12989 Southern Blvd Ste 205, Loxahatchee, FL 33470-9291.
- What is Tyson Tabora DPM PA's phone number?
- The practice phone number listed in the NPPES registry for Tyson Tabora DPM PA is (561) 809-2343.
- Does Tyson Tabora DPM PA accept Medicare?
- Tyson Tabora DPM PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Tyson Tabora DPM PA?
- The authorized official listed on Tyson Tabora DPM PA's NPPES record is Tyson Tabora, Owner/Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tyson Tabora DPM PA's NPI active?
- Yes — Tyson Tabora DPM PA's NPI (1568964633) is active in the NPPES registry as of the last update on 2023-08-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.