Individual provider Active NPI

Tyler Miskin, PT

  • Physical Therapist
  • Gilbert, AZ
National Provider Identifier
1043961048
Registry record updated Jan 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
LPT-31384 Issued in AZ
Practice address
5656 S Power Rd Ste 139
Gilbert, AZ 85295-8490
Phone
(480) 272-7797
Fax
(877) 598-9763
NPI assigned
Jan 12, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X LPT-31384 AZ Primary

Addresses

Primary practice location

5656 S Power Rd Ste 139
Gilbert, AZ 85295-8490

Mailing address

5656 S Power Rd Ste 139
Gilbert, AZ 85295-8490
Phone (480) 272-7797

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260430000378 AZ Practitioner - Physical Therapist in Private Practice 9638646383 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
At Still Un of HLTH Sciences, Col of Osteo Med, Mesa, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 20216
Phoenix, AZ 85036

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPT-31384AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Roc Physical Therapy, PLLC Physical Therapist CurrentSince Jan 7, 2019 Accepting new patients
Recovia LLC Physical Therapy PastSince Mar 27, 2026 Accepting new patients
Recovia LLC Physical Therapist Past Accepting new patients

Locations

5656 S Power Rd
Ste 139
Gilbert, AZ 85295
Phone (480) 272-7797

2730 S Val Vista Dr
Ste 171
Gilbert, AZ 85295
Phone (480) 272-7797

201 W Guadalupe Rd
Ste 313
Gilbert, AZ 85233
Phone (480) 892-0808

1917 S Signal Butte Rd
Ste B106
Mesa, AZ 85209
Phone (480) 272-7797

2036 N Gilbert Rd
Ste 7
Mesa, AZ 85203
Phone (480) 272-7797

1735 W Hunt Hwy
Ste C101
San Tan Valley, AZ 85143

1628 E Southern Ave
Ste 6
Tempe, AZ 85282
Phone (480) 272-7797

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1641945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1043961048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5656 S POWER RD STE 139",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852958490",
            "telephone_number": "480-272-7797",
            "fax_number": "877-598-9763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5656 S POWER RD STE 139",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852958490",
            "telephone_number": "480-272-7797",
            "fax_number": "877-598-9763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISKIN",
        "first_name": "TYLER",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-12",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-31384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; 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.