Tyler Tracy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1296180 Issued in TX

Practice address

21 Spurs LN Ste 300
San Antonio, TX 78240-1679

Phone

(210) 699-8326

NPI assigned

Mar 22, 2018

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sports Medicine Associates of San Antonio, PA

  • Orthopaedic Surgery Physician
  • San Antonio, TX
  • NPI 1568280808
  NPD
• Sports Medicine Associates of San Antonio, PA

  • Sports Medicine (Orthopaedic Surgery) Physician
  • San Antonio, TX
  • NPI 1861549503

  Physical Therapist

  NPD
• Texas Physical Therapy Specialists

  • Durable Medical Equipment & Medical Supplies
  • Austin, TX
  • NPI 1568049484
  NPD
• Texas Physical Therapy Specialists, Inc.

  • Physical Therapist
  • New Braunfels, TX
  • NPI 1689781338
  NPD
• Sports Medicine Associates of San Antonio, PA

  • Physical Therapist
  • San Antonio, TX
  • NPI 1609124312
  NPD (past)

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

{
    "created_epoch": "1521676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521676800000",
    "number": "1164926234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12508 JONES MALTSBERGER RD STE 110",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782474215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 SPURS LN STE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401679",
            "telephone_number": "210-699-8326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRACY",
        "first_name": "TYLER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-22",
        "last_updated": "2018-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1296180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Trabal, MD
• Andre Trabue
• Tracy L Schillerstrom M.D., P.a.
• Carissa Marie Tracy, PT
• Kathy Tiner Tracy
• Tradeium LLC
• Jane Eileen Trafton-Winch, OTR
• Bradley Scott Tragord, PT
• Jimmie D Trahan, L.P.C.
• Training Solutions and Associates

• Physical Therapist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.

Verify at the official NPI Registry.