Active NPI
Brandon Scot Tyler, DPT
- Physical Therapist
- Alcoa, TN
National Provider Identifier
1245468149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 0000008297
- Practice address
- 101 Gill Street
Alcoa, TN 37701 - Phone
- (865) 980-0030
- Fax
- (865) 980-0031
- NPI assigned
- Jun 30, 2009
- Last updated
- Mar 26, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT8297 | TN | |
| Physical Therapist | 225100000X | PT 0000008297 | TN | Primary |
Addresses
Primary practice location
101 Gill Street
Alcoa, TN 37701
Mailing address
101 Gill Street
Alcoa, TN 37701
Phone (865) 980-0030
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1513908 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 0000008297 | TN | MD | Physical Therapist |
| PT8297 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Volunteer Healthcare Services, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Dynamic Therapy
- Physical Therapy Clinic/Center
- Morristown, TN
- NPI 1093848442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269561600000",
"number": "1245468149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 GILL STREET",
"city": "ALCOA",
"state": "TN",
"postal_code": "37701",
"telephone_number": "865-980-0030",
"fax_number": "865-980-0031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 GILL STREET",
"city": "ALCOA",
"state": "TN",
"postal_code": "37701",
"telephone_number": "865-980-0030",
"fax_number": "865-980-0031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYLER",
"first_name": "BRANDON",
"middle_name": "SCOT",
"name_prefix": "Mr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-30",
"last_updated": "2010-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "PT8297",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "PT 0000008297",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1513908",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alcoa, TN
- Timothy Thurston, M.D.
- Brandy Michelle Tinker, NP
- Emily Tipton
- Rebecca Devan Trupe, PH.D.
- Tonya Denise Turner, R.N.
- Uhs Primary Care LLC (UT Primary Care Alcoa)
- Uhs Primary Care LLC (UT Primary Care Maryville)
- University Health System, Inc (U.T. Family Physicians Alcoa)
- University Health System, Inc. (UT Health and Wellness Center)
- University Health System, Inc. (Cancer Services - Blount County)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.