Individual provider Active NPI

Tyler James Gregory, PT,DPT

  • Physical Therapist
  • Tucson, AZ
National Provider Identifier
1225648173
Registry record updated Aug 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
31376 Issued in AZ
Practice address
1991 E Ajo Way Ste 149
Tucson, AZ 85713-6269
Phone
(520) 325-4002
NPI assigned
Aug 5, 2020
Last updated
Aug 5, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2020

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 31376 AZ Primary

Addresses

Primary practice location

1991 E Ajo Way Ste 149
Tucson, AZ 85713-6269

Mailing address

1991 E Ajo Way Ste 149
Tucson, AZ 85713-6269
Phone (520) 325-4002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231218000166 SC Practitioner - Physical Therapist in Private Practice 9638589930 Reassigns benefits to 1 organization
I20240528000459 MA Practitioner - Physical Therapist in Private Practice 9638589930 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1076 Ribaut Rd
Suite 102
Beaufort, SC 29902-5490
Phone (843) 379-0836

Merit-based Incentive Payment System (MIPS)

Final score
81.34 of 100Reported as group
Quality
57.41
Promoting interoperability
100
Improvement activities
40
Cost
80.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bay State Physical Therapy of Randolph Inc Physical Therapist CurrentSince May 17, 2024 Accepting new patients
Beaufort Orthopaedic Sports and Spine Center LLC CurrentSince Nov 13, 2023 Accepting new patients
Bay State Physical Therapy of Randolph Inc Physical Therapist CurrentSince May 17, 2024 Accepting new patients
Beaufort Orthopaedic Sports and Spine Center LLC CurrentSince Nov 13, 2023 Accepting new patients

Locations

703 Granite St
Ste 3
Braintree, MA 02184

1343 Providence Hwy
Norwood, MA 02062
Phone (781) 702-1339

173 Essex St
Fl 1
Swampscott, MA 01907
Phone (781) 586-0550

1076 Ribaut Rd
Ste 101
Beaufort, SC 29902
Phone (843) 525-0045

1076 Ribaut Rd
Ste 102
Beaufort, SC 29902
Phone (843) 521-1970

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1596585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1225648173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1991 E AJO WAY STE 149",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857136269",
            "telephone_number": "520-325-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1991 E AJO WAY STE 149",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857136269",
            "telephone_number": "520-325-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "TYLER",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "PT,DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-05",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "31376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; 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.