Active NPI
Tyler Worsham, DPT
- Physical Therapist
- Melissa, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1380753
- Practice address
- 3059 Champion Way Ste 400
Melissa, TX 75454-2795 - Phone
- (469) 885-8671
- NPI assigned
- May 8, 2023
- Last updated
- Sep 13, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1380753 | TX | Primary |
Addresses
Primary practice location
3059 Champion Way Ste 400
Melissa, TX 75454-2795
Mailing address
1089 W Exchange Pkwy Apt 5202
Allen, TX 75013-7040
Phone (817) 988-0503
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3059 Champion Way
Suite 400
Melissa, TX 75454-2795
Phone (469) 885-8671
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vista Rehab Partners | Physical Therapist | Current | Accepting new patients |
| Vista Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Vista Rehab Partners, LP | Physical Therapist | Current | Accepting new patients |
| Vista Rehab Partners LP | Physical Therapist | Current | Accepting new patients |
Locations
2600 Dallas Pkwy
Ste 290
Frisco, TX 75034
Phone (945) 260-0010
3059 Champion Way
Ste 400
Melissa, TX 75454
Phone (469) 885-8671
821 N Coleman St
Ste 160
Prosper, TX 75078
Phone (972) 347-1111
7720 Highway 78
Sachse, TX 75048
Phone (972) 761-5501
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Denton, TX
- NPI 1699410555
Physical Therapist
-
dba Vista Physical Therapy Melissa
- Physical Therapist
- Melissa, TX
- NPI 1225544083
-
dba Vista Physical Therapy
- Physical Therapist
- Fort Worth, TX
- NPI 1710223318
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726185600000",
"number": "1013606821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1089 W EXCHANGE PKWY APT 5202",
"city": "ALLEN",
"state": "TX",
"postal_code": "750137040",
"telephone_number": "817-988-0503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3059 CHAMPION WAY STE 400",
"city": "MELISSA",
"state": "TX",
"postal_code": "754542795",
"telephone_number": "469-885-8671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WORSHAM",
"first_name": "TYLER",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-08",
"last_updated": "2024-09-13",
"certification_date": "2024-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1380753",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Melissa, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.