Individual provider Active NPI

Tyler Jack Lookabaugh, PT

  • Physical Therapist
  • Carlisle, PA
National Provider Identifier
1043823693
Registry record updated Sep 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
850 Walnut Bottom Rd Ste 306
Carlisle, PA 17013-3615
Phone
(717) 241-2211
NPI assigned
Aug 24, 2020
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Panther Physical Therapy LLC 9 clinicians

Practice addresses (Care Compare)

10441 Perry Hwy
Wexford, PA 15090-9292
Phone (724) 940-4144

4960 Route 8
Allison Park, PA 15101-2354
Phone (724) 443-8060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201020002013 PA Practitioner - Physical Therapist in Private Practice 8729408380 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic & Spine Physical Therapy Physical Therapist CurrentSince Oct 1, 2020 Accepting new patients

Locations

850 Walnut Bottom Rd
Ste 306
Carlisle, PA 17013
Phone (717) 241-2211

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

NPPES NPI Registry

Primary practice location

850 Walnut Bottom Rd Ste 306
Carlisle, PA 17013-3615

Mailing address

546 State Route 380
Murrysville, PA 15668-2200
Phone (724) 681-1239

Other practice location 1

60 West St
Geneva, OH 44041-9723
Phone (440) 539-5540

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 29, 2020.

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1043823693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "546 STATE ROUTE 380",
            "city": "MURRYSVILLE",
            "state": "PA",
            "postal_code": "156682200",
            "telephone_number": "724-681-1239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 WALNUT BOTTOM RD STE 306",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170133615",
            "telephone_number": "717-241-2211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 West St",
            "address_purpose": "LOCATION",
            "city": "Geneva",
            "state": "OH",
            "postal_code": "440419723",
            "country_code": "US",
            "telephone_number": "440-539-5540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOOKABAUGH",
        "first_name": "TYLER",
        "middle_name": "JACK",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-24",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlisle, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; 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.

Verify at the official NPI Registry.