Tyler Clifton, DPT BSK

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT60649526 Issued in WA

Practice address

203 E Dalke Ave
Spokane, WA 99208-8112

Phone

(509) 483-8228

Fax

(509) 483-8338

NPI assigned

Jun 24, 2016

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1466726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466726400000",
    "number": "1285085845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 E DALKE AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992088112",
            "telephone_number": "509-483-8228",
            "fax_number": "509-483-8338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 E DALKE AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992088112",
            "telephone_number": "509-483-8228",
            "fax_number": "509-483-8338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLIFTON",
        "first_name": "TYLER",
        "credential": "DPT BSK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-24",
        "last_updated": "2016-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60649526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "PT60649526",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katya Clevett
• Janna-Nicole Clifford
• Jayne Hye-Sung Clifford, MSW
• Mallory Anne Clifford, RN
• Nicholas Gaian Clifforr, SRNA
• Climb LLC
• David Cline, CCC-SLP
• Jeremy Cline
• Kirby Jeanne Cline, MS CCC-SLP
• Bryce Neal Clinger, MD

• Physical Therapist in Spokane, WA
• Providers in Spokane, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2016; 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.