Individual provider Active NPI

Tyler Thomas Janowski, PT, DPT

  • Physical Therapist
  • Centennial, CO
National Provider Identifier
1134964182
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0019989 Issued in CO
Practice address
6851 S Holly Cir Ste 110
Centennial, CO 80112-1050
Phone
(720) 640-0181
NPI assigned
Jul 1, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 306205 CA
Physical Therapist 225100000X 0019989 CO Primary

Addresses

Primary practice location

6851 S Holly Cir Ste 110
Centennial, CO 80112-1050

Mailing address

501 Penny LN
Fortuna, CA 95540-1710
Phone (707) 502-9858

Other practice location 1

501 Penny Ln
Fortuna, CA 95540-1710
Phone (707) 502-9858

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240906000566 CO Practitioner - Physical Medicine and Rehabilitation 2567902489 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Next Era Physical Therapy, LLCGroup PAC ID 4880971910, 5 clinicians

Practice addresses (Care Compare)

14353 E Otero Ave
Suite 104
Englewood, CO 80112-3279
Phone (720) 644-0181

6851 S Holly Cir
Suite 110
Centennial, CO 80112-1050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
306205CAMDPhysical Therapist
0019989COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Next Era Physical Therapy, LLC Physical Therapist CurrentSince Aug 1, 2024 Accepting new patients
Next Era Physical Therapy Castle Rock, PC Physical Therapist PastSince Aug 4, 2024 Accepting new patients

Locations

6851 S Holly Cir
Ste 110
Centennial, CO 80112
Phone (720) 644-0181

Organizations & group practices 2

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": "1719792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1134964182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 PENNY LN",
            "city": "FORTUNA",
            "state": "CA",
            "postal_code": "955401710",
            "telephone_number": "707-502-9858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6851 S HOLLY CIR STE 110",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801121050",
            "telephone_number": "720-640-0181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 Penny Ln",
            "address_purpose": "LOCATION",
            "city": "Fortuna",
            "state": "CA",
            "postal_code": "955401710",
            "country_code": "US",
            "telephone_number": "707-502-9858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JANOWSKI",
        "first_name": "TYLER",
        "middle_name": "THOMAS",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "306205",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0019989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

Verify at the official NPI Registry.