Active NPI
Tyler Tice, DPT
- Physical Therapist
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 27844
- Practice address
- 200 W Cold Spring LN # 300
Baltimore, MD 21210-2831 - Phone
- (410) 662-7977
- Fax
- (410) 662-4544
- NPI assigned
- Jan 22, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 27844 | MD | Primary |
Addresses
Primary practice location
200 W Cold Spring LN # 300
Baltimore, MD 21210-2831
Mailing address
200 W Cold Spring LN # 300
Baltimore, MD 21210-2831
Phone (410) 662-7977
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 W Cold Spring Lane
Suite 300
Baltimore, MD 21210-2831
Phone (410) 662-7997
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27844 | MD | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy First, LLC | Current | Accepting new patients | |
| First Physical Therapy Network, Inc | Physical Therapist | Past | Accepting new patients |
Locations
200 W Cold Spring Ln
Ste 300
Baltimore, MD 21210
Phone (410) 662-7977
200 W Cold Spring Ln
#300
Baltimore, MD 21210
Phone (410) 662-7977
9110 Philadelphia Rd
Ste 100
Rosedale, MD 21237
Phone (410) 391-3700
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Point of Service
- Baltimore, MD
- NPI 1528240850
-
- Physical Therapist
- Baltimore, MD
- NPI 1053705632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579651200000",
"number": "1275163941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 W COLD SPRING LN # 300",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212102831",
"telephone_number": "410-662-7977",
"fax_number": "410-662-4544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W COLD SPRING LN # 300",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212102831",
"telephone_number": "410-662-7977",
"fax_number": "410-662-4544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TICE",
"first_name": "TYLER",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-01-22",
"last_updated": "2020-01-22",
"certification_date": "2020-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "27844",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.