Individual provider Active NPI

Tyler Bryce Gainer, PT, DPT

  • Physical Therapist
  • Huntington, WV
National Provider Identifier
1124628284
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
004327 Issued in WV
Practice address
1540 Spring Valley Dr
Huntington, WV 25704-9501
Phone
(304) 429-6755
Fax
(304) 429-7579
NPI assigned
Oct 28, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 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 004327 WV Primary

Addresses

Primary practice location

1540 Spring Valley Dr
Huntington, WV 25704-9501

Mailing address

1616 Spring Valley Dr Apt 29
Huntington, WV 25704-9435

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL tyler.gainer@va.gov

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
004327WVMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1603843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1124628284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 SPRING VALLEY DR APT 29",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257049435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 SPRING VALLEY DR",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257049501",
            "telephone_number": "304-429-6755",
            "fax_number": "304-429-7579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAINER",
        "first_name": "TYLER",
        "middle_name": "BRYCE",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-28",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "004327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "tyler.gainer@va.gov",
            "affiliation": "N",
            "address_1": "1540 Spring Valley Dr",
            "city": "Huntington",
            "state": "WV",
            "country_code": "US",
            "postal_code": "257049501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; 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.