Individual provider Active NPI

Evan Tyger, DPT

  • Physical Therapist
  • Punxsutawney, PA
National Provider Identifier
1093331050
Registry record updated Jun 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT028389 Issued in PA
Practice address
1464 N Main St Ste 14
Punxsutawney, PA 15767-2609
Phone
(814) 618-5234
NPI assigned
Jun 24, 2020
Last updated
Jun 24, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2020

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 PT028389 PA Primary

Addresses

Primary practice location

1464 N Main St Ste 14
Punxsutawney, PA 15767-2609

Mailing address

1200 Corporate Dr Ste 400
Birmingham, AL 35242-5424

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221129000431 OH Practitioner - Physical Therapist in Private Practice 5698198190 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthounited, Inc.Group PAC ID 9032197868, 89 clinicians

Practice addresses (Care Compare)

4760 Belpar St NW
Canton, OH 44718-3603
Phone (330) 492-9200

Merit-based Incentive Payment System (MIPS)

Final score
80.13 of 100Reported as group
Quality
74.6
Promoting interoperability
70
Improvement activities
40
Cost
84.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy Institute LLC Physical Therapist CurrentSince Jun 29, 2020 Accepting new patients
Orthounited, Inc. Physical Therapist CurrentSince Jan 1, 2023 Accepting new patients
Drayer Physical Therapy Institute LLC CurrentSince Jun 29, 2020 Accepting new patients
Drayer Physical Therapy Institute LLC Physical Therapist Current Accepting new patients
Orthounited, Inc. Physical Therapist CurrentSince Jan 1, 2023 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

325 Springside Dr
Ste 101OH
Akron, OH 44333

4760 Belpar St NW
Canton, OH 44718
Phone (330) 244-1001

7442 Frank Ave NW
North Canton, OH 44720
Phone (330) 305-0838

1019 Ghaner Rd
Ste 200
Port Matilda, PA 16870
Phone (814) 954-7056

1464 N Main St
Ste 14
Punxsutawney, PA 15767
Phone (814) 618-5234

5459 E Pleasant Valley Blvd
Tyrone, PA 16686
Phone (814) 682-7267

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592956800000",
    "number": "1093331050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352425424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1464 N MAIN ST STE 14",
            "city": "PUNXSUTAWNEY",
            "state": "PA",
            "postal_code": "157672609",
            "telephone_number": "814-618-5234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYGER",
        "first_name": "EVAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-24",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT028389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Punxsutawney, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.