Tyler B Smith

Primary specialty

Clinical Exercise PhysiologistTaxonomy code 224Y00000X

Practice address

2655 W Guadalupe Rd Ste 19
Mesa, AZ 85202-7245

Phone

(210) 412-3439

NPI assigned

May 19, 2025

Last updated

May 19, 2025By 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 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1747612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1174315162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 W GUADALUPE RD STE 19",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852027245",
            "telephone_number": "210-412-3439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 W GUADALUPE RD STE 19",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852027245",
            "telephone_number": "210-412-3439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TYLER",
        "middle_name": "B",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-19",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "226300000X",
            "taxonomy_group": "",
            "desc": "Kinesiotherapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224Y00000X",
            "taxonomy_group": "",
            "desc": "Clinical Exercise Physiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawn Christopher Smith, PA-C
• Susan J Smith, CCC-SLP
• Thomas Samuel Smith, FNP-BC, CRNFA
• Tiffany Smith
• Tyler Smith
• Valerie Smith, M.ED., BCBA, LBA
• Vicki Larimore Smith
• Whitney Leigh Smith, M.S., CCC-SLP
• Zammiah Smith, BHT, MA
• Elizabeth Cabrera Smithhart, LPC

• Clinical Exercise Physiologist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Clinical Exercise Physiologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; 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.