Tyler Bryce Fadul

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT031428 Issued in PA

Practice address

820 Sir Thomas CT
Harrisburg, PA 17109-4839

Phone

(717) 657-9024

NPI assigned

Jul 12, 2021

Last updated

Aug 14, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.08 of 100Reported as group

Quality

76.48

Promoting interoperability

100

Improvement activities

40

Cost

77.12

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tyler.fadul.1@8042.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Privia Medical Group, LLC

  • Internal Medicine Physician
  • Arlington, VA
  • NPI 1013042480
  Medicare reassignment Care Compare group NPD
• PT Solutions, LLC

  • Physical Therapist
  • Wytheville, VA
  • NPI 1861946329
  Medicare reassignment NPD
• Drayer Physical Therapy Institute LLC

  • Physical Therapist
  • York, PA
  • NPI 1053348409
  NPD
• Drayer Physical Therapy Institute LLC

  • Physical Therapist
  • Hummelstown, PA
  • NPI 1538122700
  NPD
• Drayer Physical Therapy Institute LLC

  • Physical Therapy Clinic/Center
  • Carlisle, PA
  • NPI 1689219529
  NPD
• Pinnacle Health Medical Services

  dba PinnacleHealth Internal Medicine Residency Program

  • Internal Medicine Physician
  • Harrisburg, PA
  • NPI 1255342721
  NPD
• Pinnacle Health Medical Services

  dba UPMC Gastroenterology Associates of Central PA

  • Gastroenterology Physician
  • Mechanicsburg, PA
  • NPI 1295552073
  NPD
• Pinnacle Health Medical Services

  • Family Medicine Physician
  • Harrisburg, PA
  • NPI 1932143427
  NPD
• Privia Medical Group, LLC

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Rockville, MD
  • NPI 1811715436
  NPD
• PT Solutions, LLC

  • Physical Therapy Clinic/Center
  • Galax, VA
  • NPI 1730600016
  NPD
• Pulmonologists, PC

  • Pulmonary Disease Physician
  • Gaithersburg, MD
  • NPI 1245270719
  NPD (past)

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

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1154993053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 SIR THOMAS CT",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171094839",
            "telephone_number": "717-657-9024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 SIR THOMAS CT",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171094839",
            "telephone_number": "717-657-9024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7965 Heritage Village Plz",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "VA",
            "postal_code": "201553077",
            "country_code": "US",
            "telephone_number": "571-486-1899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FADUL",
        "first_name": "TYLER",
        "middle_name": "BRYCE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-12",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT031428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Express Pharmacy LLC
• Expressive Pathways, LLC
• Louisa Brooks Eyler, MSW, LSW
• Faffy Quality Home Care Services LLC (Faffy Quality Home Care Services)
• Olusesan. A Fafiolu
• Alaa Fahoum, DDS
• Antoniette Joy Cadiz Failagutan
• Family First Chiropractic, LLC

• Physical Therapist in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.