Tyler Charles Seppanen, M.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT35595 Issued in CA

Practice address

653 Camino de Los Mares
Suite 110
San Clemente, CA 92673-2808

Phone

(949) 496-0122

Fax

(949) 496-5027

NPI assigned

May 28, 2009

Last updated

Mar 6, 2017By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, MT2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

California Luna Care Physical Therapy PCGroup PAC ID 9638427834, 769 clinicians

Practice addresses (Care Compare)

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

• California Luna Care Physical Therapy PC

  • Physical Therapist
  • Los Gatos, CA
  • NPI 1689162166
  Medicare reassignment Care Compare group NPD
• Gaspar Physical Therapy a Professional Corporation

  dba Doctors of Physical Therapy

  • Specialist
  • Carlsbad, CA
  • NPI 1952544405

  Physical Therapist

  Medicare reassignment NPD
• Scor Physical Therapy Inc

  dba San Clemente Orthopedic Rehab

  • Physical Therapy Clinic/Center
  • San Clemente, CA
  • NPI 1881795375

  Physical Therapist

  Medicare reassignment NPD
• Billings Clinic

  • Emergency Care Clinic/Center
  • Billings, MT
  • NPI 1326104845
  Medicare reassignment
• One-on-One Physical Therapy

  • Physical Therapist
  • San Diego, CA
  • NPI 1790543890
  Authorized official Same address or phone
• Gaspar Physical Therapy a Professional Corporation

  • Specialist
  • Encinitas, CA
  • NPI 1528274495
  NPD

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

{
    "created_epoch": "1243468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488758400000",
    "number": "1245465632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4365 MONTALVO ST",
            "address_2": "UNIT 3",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921071132",
            "telephone_number": "949-307-4654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 CAMINO DE LOS MARES",
            "address_2": "SUITE 110",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926732808",
            "telephone_number": "949-496-0122",
            "fax_number": "949-496-5027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEPPANEN",
        "first_name": "TYLER",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "M.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-28",
        "last_updated": "2017-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT35595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sea View Orthopaedic Medical Group Apc
• Staci A. Self, P.T.
• Senior Care Medical Associates, Inc.
• Sensory Neurostimulation Inc (Relaxis)
• Sepideh Forstie
• Janet M Seymour, PSYD
• Shahin Mahallati Dental Corp (Smile San Clemente)
• Jamie Shanafelt, RN, IBCLC
• Bradley C Shapero, DC
• Lauren Civiello Shearer, CCC SLP

• Physical Therapist in San Clemente, CA
• Providers in San Clemente, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; 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.