Individual provider Active NPI

Tyler Tice, DPT

  • Physical Therapist
  • Baltimore, MD
National Provider Identifier
1275163941
Registry record updated Jan 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
27844 Issued in MD
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

Updated by the provider on Jan 22, 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 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

Enrollment IDStateProvider typePAC IDDetails
I20200320001018 MD Practitioner - Physical Therapist in Private Practice 9436587748 Reassigns benefits to 1 organization

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
Physical Therapy First, LLCGroup PAC ID 5890691463, 10 clinicians

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

LicenseStateTypeSpecialty
27844MDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy First, LLC CurrentSince Feb 1, 2020 Accepting new patients
First Physical Therapy Network, Inc Physical Therapist PastSince Jan 26, 2020 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.

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.

Verify at the official NPI Registry.