Tyler Scott Fidler

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Practice address

16300 Roscoe Blvd Ste A1
Van Nuys, CA 91406-1246

Phone

(442) 681-8893

NPI assigned

Jul 10, 2023

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1265110027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 N BRIGHTON ST",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915062104",
            "telephone_number": "661-342-4223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16300 ROSCOE BLVD STE A1",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914061246",
            "telephone_number": "442-681-8893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIDLER",
        "first_name": "TYLER",
        "middle_name": "SCOTT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Scott Ferrer, RN
• Sabrina Fest
• Elizabeth Fey
• Ivania Elizabeth Fictoria
• Fidji Homehealth
• Robert Steven Fields, D.D.S
• Kathrine Symonds Figge, MSW
• Anthony Alara Figueroa
• Guadalupe Figueroa, LMT
• Stephanie Jeanette Figueroa, LCSW

• Physical Therapy Clinic/Center in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.