Organization Active NPI

Empowered Care Physical Therapy and Wound Care PLLC

  • Physical Therapist
  • Las Vegas, NV
National Provider Identifier
1093491094
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
EMPOWERED CARE PHYSICAL THERAPY AND WOUND CARE PLLC
Practice address
7921 Midnight Ride St
Las Vegas, NV 89131-1966
Phone
(801) 505-3886
NPI assigned
Jun 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2023

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

Authorized official

Name
Dr. Tyler Lund, PT, DPT, CWSNPI 1760168769
Title
Owner/Managing Member
Phone
(801) 505-3886

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

7921 Midnight Ride St
Las Vegas, NV 89131-1966

Mailing address

7921 Midnight Ride St
Las Vegas, NV 89131-1966
Phone (801) 505-3886

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231103003108 NV Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1557718129 Receives reassigned benefits from 2 practitioners
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1687478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687478400000",
    "number": "1093491094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7921 MIDNIGHT RIDE ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891311966",
            "telephone_number": "801-505-3886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7921 MIDNIGHT RIDE ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891311966",
            "telephone_number": "801-505-3886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERED CARE PHYSICAL THERAPY AND WOUND CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-23",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A",
        "authorized_official_last_name": "LUND",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "OWNER/MANAGING MEMBER",
        "authorized_official_telephone_number": "801-505-3886",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, CWS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.