Tyler Van Acker, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

2160 Appian Way Ste 101
Pinole, CA 94564-2524

Phone

(510) 724-5720

NPI assigned

Aug 1, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wellness and Movement Transformation

  • Physical Therapist
  • Brighton, MI
  • NPI 1457951493
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1564617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564617600000",
    "number": "1003460510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1276 LONG LAKE CT",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481149640",
            "telephone_number": "586-854-7348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 APPIAN WAY STE 101",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642524",
            "telephone_number": "510-724-5720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN ACKER",
        "first_name": "TYLER",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-01",
        "last_updated": "2019-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henry Chukwudubem Umeh
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• Julian Valdez
• Yaritza Lizeth Valdez
• Lisbeth Valencia
• Jessica Catalina Varela Renteria
• Vatche Cabayan Medical Corporation
• Nicolette Velasco
• Arjay V. Ventura, D.C.
• Vibrantcare Outpatient Rehabilitation of California Inc (Vibrantcare Rehabilitation)

• Physical Therapist in Pinole, CA
• Providers in Pinole, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.