Active NPI
Tyler Titsworth
- Physical Therapist
- Oklahoma City, OK
National Provider Identifier
1154822005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5147
- Practice address
- 5915 W Memorial Rd Ste 210
Oklahoma City, OK 73142-2022 - Phone
- (405) 773-6601
- NPI assigned
- Feb 26, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5147 | OK | Primary |
Addresses
Primary practice location
5915 W Memorial Rd Ste 210
Oklahoma City, OK 73142-2022
Mailing address
5915 W Memorial Rd Ste 210
Oklahoma City, OK 73142-2022
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5147 | OK | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integris Baptist Medical Center, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Rehabilitation Hospital Unit
- Oklahoma City, OK
- NPI 1831663657
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519603200000",
"number": "1154822005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5915 W MEMORIAL RD STE 210",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731422022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5915 W MEMORIAL RD STE 210",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731422022",
"telephone_number": "405-773-6601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TITSWORTH",
"first_name": "TYLER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-02-26",
"last_updated": "2018-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "5147",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.