Individual provider Active NPI

Tyler Uhrich, DPT

  • Physical Therapist
  • Brea, CA
National Provider Identifier
1114559341
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
299983 Issued in CA
Practice address
2767 E Imperial Hwy
Brea, CA 92821-6713
Phone
(573) 535-8022
NPI assigned
Feb 5, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CP008462T NC
Physical Therapist 225100000X 2020004450 MO
Physical Therapist 225100000X 299983 CA Primary
Physical Therapist 225100000X 2020004450 NC

Addresses

Primary practice location

2767 E Imperial Hwy
Brea, CA 92821-6713

Mailing address

90 Vantis Dr Unit 5048
Aliso Viejo, CA 92656-2540
Phone (573) 535-8022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2020004450MOMDPhysical Therapist
2020004450NCMDPhysical Therapist
CP008462TNCMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1114559341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 VANTIS DR UNIT 5048",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926562540",
            "telephone_number": "573-535-8022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2767 E IMPERIAL HWY",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928216713",
            "telephone_number": "573-535-8022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UHRICH",
        "first_name": "TYLER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-05",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "CP008462T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2020004450",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "299983",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "2020004450",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brea, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; 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.