Individual provider Active NPI

Tyler Alan Meyers, DPT

  • Physical Therapist
  • Colorado Springs, CO
National Provider Identifier
1164160842
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
18352 Issued in CO
Practice address
6160 Tutt Blvd Ste 240
Colorado Springs, CO 80923-3502
Phone
(719) 596-0880
Fax
(719) 596-0899
NPI assigned
May 23, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 18352 CO Primary

Addresses

Primary practice location

6160 Tutt Blvd Ste 240
Colorado Springs, CO 80923-3502

Mailing address

6160 Tutt Blvd Ste 240
Colorado Springs, CO 80923-3502
Phone (719) 596-0880

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220615000916 CO Practitioner - Physical Therapist in Private Practice 3274912688 Reassigns benefits to 2 organizations

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
Phenix Therapies, LLCGroup PAC ID 0345556502, 16 clinicians

Practice addresses (Care Compare)

1625 Medical Ctr PT
Suite 180
Colorado Springs, CO 80907-5798
Phone (719) 344-9497

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18352COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Panorama Orthopedics and Spine Center PC Current Accepting new patients
Panorama Orthopedics & Spine Center, PC CurrentSince Jun 6, 2022 Accepting new patients
Phenix Therapies, LLC Physical Therapist CurrentSince Mar 21, 2023 Accepting new patients
Panorama Orthopedics & Spine Center, PC CurrentSince Jun 6, 2022 Accepting new patients

Locations

1015 5th St
Calhan, CO 80808
Phone (719) 344-9497

6160 Tutt Blvd
Ste 240
Colorado Springs, CO 80923
Phone (719) 596-0880

1625 Medical Center Pt
Ste 180
Colorado Springs, CO 80907
Phone (719) 344-9497

660 Golden Ridge Rd
Ste 250
Golden, CO 80401
Phone (303) 274-7321

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": "1653264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1164160842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6160 TUTT BLVD STE 240",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809233502",
            "telephone_number": "719-596-0880",
            "fax_number": "719-596-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6160 TUTT BLVD STE 240",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809233502",
            "telephone_number": "719-596-0880",
            "fax_number": "719-596-0899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYERS",
        "first_name": "TYLER",
        "middle_name": "ALAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-23",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "18352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; 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.