Individual provider Active NPI

Tyler James Martin, DPT

  • Physical Therapist
  • Milford, MI
National Provider Identifier
1164132007
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1501 N Milford Rd Ste 201
Milford, MI 48381-1049
Phone
(248) 676-0666
Fax
(248) 676-9336
NPI assigned
Dec 1, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 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
Physical Therapist 225100000X MI Primary

Addresses

Primary practice location

1501 N Milford Rd Ste 201
Milford, MI 48381-1049

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (866) 370-8206

Other practice location 1

5849 W Saginaw Hwy
Lansing, MI 48917-2460
Phone (517) 827-8644

Other practice location 2

2615 Woodruff Rd Ste 400
Simpsonville, SC 29681-6828
Phone (864) 537-5016

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221206002602 MI Practitioner - Physical Therapist in Private Practice 5496124869 Reassigns benefits to 1 organization
I20231107001622 SC Practitioner - Physical Therapist in Private Practice 5496124869 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Rehabilitation Specialists of Fowlerville LLCGroup PAC ID 6204730393, 125 clinicians

Practice addresses (Care Compare)

6304 S Cedar St
Lansing, MI 48911-5957
Phone (517) 319-0002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Greenville Proaxis Therapy LLC CurrentSince Nov 6, 2023 Accepting new patients
Greenville Proaxis Therapy, LLC Physical Therapist CurrentSince Nov 6, 2023 Accepting new patients
Michigan Rehabilitation Specialists of Fowlerville, LLC CurrentSince Nov 21, 2022 Accepting new patients
Michigan Rehabilitation Specialists of Fowlerville LLC Physical Therapist CurrentSince Nov 21, 2022 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

33205 Collection Ctr Dr
Chicago, IL 60693

2625 Plymouth Rd
Ann Arbor, MI 48105
Phone (734) 585-3313

5700 Jackson Rd
Ann Arbor, MI 48103
Phone (734) 926-4710

100 E Midland Rd
Auburn, MI 48611
Phone (989) 607-5686

309 S Euclid Ave
Bay City, MI 48706
Phone (989) 402-1438

7164 N Main St
Clarkston, MI 48346
Phone (248) 625-6400

40097 S Groesbeck Hwy
Clinton Twp, MI 48036
Phone (586) 468-7612

42615 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 412-2845

10078 Lapeer Rd
Ste B
Davison, MI 48423
Phone (810) 653-6200

2750 Center Ave
Essexville, MI 48732
Phone (989) 244-1216

5849 W Saginaw Hwy
Lansing, MI 48917
Phone (517) 827-8644

6304 S Cedar St
Lansing, MI 48911

6304 S Cedar St
Lansing, MI 48911
Phone (517) 319-0002

1625 E Wheeler St
Midland, MI 48642
Phone (989) 662-7517

1501 N Milford Rd
Ste 201
Milford, MI 48381
Phone (248) 676-0666

2215 18 Mile Rd
Sterling Heights, MI 48314
Phone (586) 930-0668

1613 S Huron St
Ypsilanti, MI 48197
Phone (734) 483-9200

103 N Main St
Ste 201
Greenville, SC 29601
Phone (864) 528-5753

2615 Woodruff Rd
Ste 400
Simpsonville, SC 29681
Phone (864) 537-5016

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": "1669852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1164132007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "866-370-8206",
            "fax_number": "517-435-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 N MILFORD RD STE 201",
            "city": "MILFORD",
            "state": "MI",
            "postal_code": "483811049",
            "telephone_number": "248-676-0666",
            "fax_number": "248-676-9336"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5849 W Saginaw Hwy",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489172460",
            "country_code": "US",
            "telephone_number": "517-827-8644",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2615 Woodruff Rd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Simpsonville",
            "state": "SC",
            "postal_code": "296816828",
            "country_code": "US",
            "telephone_number": "864-537-5016",
            "fax_number": "864-302-8373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "TYLER",
        "middle_name": "JAMES",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-01",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.