Individual provider Active NPI

Tyler Guymon, PT, DPT

  • Physical Therapist
  • Avondale, AZ
National Provider Identifier
1144512989
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9305 Issued in AZ
Practice address
1585 N 113TH Ave # 6
Avondale, AZ 85392-3938
Phone
(623) 772-7748
NPI assigned
May 12, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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 9305 AZ Primary
Orthopedic Physical Therapist 2251X0800X 9305 AZ

Addresses

Primary practice location

1585 N 113TH Ave # 6
Avondale, AZ 85392-3938

Mailing address

14287 N 87TH St Ste 220
Scottsdale, AZ 85260-3698
Phone (480) 937-1000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130703000584 AZ Practitioner - Physical Therapist in Private Practice 9234379710 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spooner Physical Therapy and Hand Rehab, PCGroup PAC ID 3476440447, 202 clinicians

Practice addresses (Care Compare)

1585 N 113TH Ave
Suite 106
Avondale, AZ 85392-3938
Phone (623) 772-7748

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Orthopedic Physical Therapy, PLLC CurrentSince Apr 1, 2013 Accepting new patients
Spooner Physical Therapy and Hand Rehab, PC Physical Therapist CurrentSince Jan 6, 2025 Accepting new patients
Spooner Physical Therapy & Hand Rehab, PC CurrentSince Jan 6, 2025 Accepting new patients
Spooner Physical Therapy & Hand Rehab, PC Physical Therapist PastSince Jan 26, 2025 Accepting new patients

Locations

1585 N 113th Ave
Ste 106
Avondale, AZ 85392
Phone (623) 772-7748

23478 N Sundance Pkwy
Ste 104
Buckeye, AZ 85326
Phone (623) 257-9462

23350 W Yuma Rd
Buckeye, AZ 85326
Phone (623) 547-5260

9980 W Glendale Ave
Ste 110
Glendale, AZ 85307
Phone (623) 226-8804

14535 W Indian School Rd
Ste 100
Goodyear, AZ 85395
Phone (623) 734-5544

14557 W Indian School Rd
Ste 500
Goodyear, AZ 85395
Phone (623) 229-7808

14557 W Indian School Rd
#500
Goodyear, AZ 85395
Phone (203) 525-7309

2650 E McDowell Rd
Phoenix, AZ 85008
Phone (602) 263-1010

14287 N 87th St
Ste 220
Scottsdale, AZ 85260

9097 E Desert Cove Ave
Ste 110
Scottsdale, AZ 85260
Phone (480) 860-4298

Organizations & group practices 4

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": "1305158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1144512989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14287 N 87TH ST STE 220",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852603698",
            "telephone_number": "480-937-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 N 113TH AVE # 6",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853923938",
            "telephone_number": "623-772-7748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUYMON",
        "first_name": "TYLER",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-12",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "9305",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AZ",
            "license": "9305",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avondale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; 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.