Tyler J Blome, DPT

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

221 Spencer Rd
Ste D
Saint Peters, MO 63376-2438

Phone

(636) 477-9911

Fax

(636) 477-9929

NPI assigned

Mar 9, 2017

Last updated

Mar 9, 2017By the provider in NPPES

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

Interoperability endpoints

• Direct secure messaging: tyler.blome.p2@direct.athleticoltd.nextgenshare.com

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

{
    "created_epoch": "1489017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489017600000",
    "number": "1033650197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 ENTERPRISE DR",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605238813",
            "telephone_number": "630-575-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 SPENCER RD",
            "address_2": "STE D",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633762438",
            "telephone_number": "636-477-9911",
            "fax_number": "636-477-9929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOME",
        "first_name": "TYLER",
        "middle_name": "J",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-09",
        "last_updated": "2017-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corey Allen Blassie, NP
• Beth Ann Blechle, OTR/L
• Christy Michele Bledsoe, LPC
• Blessed Hands CDS, LLC
• Blessed Hands Home Health Services, LLC
• Blooming Lotus Counseling Services, LLC
• Blue Hayven Foundation
• Colleen Bock, PTA
• Venkata KR Bodavula, MD
• William Michael Boedefeld, DDS

• Student in an Organized Health Care Education/Training Program in Saint Peters, MO
• Providers in Saint Peters, MO by specialty
• Student in an Organized Health Care Education/Training Program in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; 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.