Active NPI
Tyler John Soltis
- Physical Therapist
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12061
- Practice address
- PO Box 412066
Boston, MA 02241-2066 - Phone
- (914) 294-4050
- Fax
- (631) 760-8306
- NPI assigned
- May 7, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 12061 | SC | Primary |
| Physical Therapist | 225100000X | 12252 | TN |
Addresses
Primary practice location
PO Box 412066
Boston, MA 02241-2066
Mailing address
800 Crescent Centre Dr Ste 300
Franklin, TN 37067-7285
Phone (615) 373-1350
Other practice location 1
1738 Celanese Rd Ste 102
Rock Hill, SC 29732-1731
Phone (803) 670-3067
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12252 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivyrehab Focus, Inc. | Physical Therapist | Current | Accepting new patients |
Locations
130 Crisanto Ave
Ste A
Fort Mill, SC 29715
Phone (803) 487-5638
1738 Celanese Rd
#102
Rock Hill, SC 29732
Phone (803) 670-3067
Organizations & group practices 1
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.
-
- Physical Medicine & Rehabilitation Physician
- Lake Wylie, SC
- NPI 1518105279
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785283200000",
"number": "1023673852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 CRESCENT CENTRE DR STE 300",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370677285",
"telephone_number": "615-373-1350",
"fax_number": "615-221-9054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 412066",
"city": "BOSTON",
"state": "MA",
"postal_code": "022412066",
"telephone_number": "914-294-4050",
"fax_number": "631-760-8306"
}
],
"practiceLocations": [
{
"address_1": "1738 Celanese Rd Ste 102",
"address_purpose": "LOCATION",
"city": "Rock Hill",
"state": "SC",
"postal_code": "297321731",
"country_code": "US",
"telephone_number": "803-670-3067",
"fax_number": "803-670-3068",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOLTIS",
"first_name": "TYLER",
"middle_name": "JOHN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-07",
"last_updated": "2026-07-29",
"certification_date": "2026-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "12061",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "12252",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.