Individual provider Active NPI

Tyler Lang Ross, DPT

  • Physical Therapist
  • Concord, NC
National Provider Identifier
1295194561
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P21681 Issued in NC
Practice address
1090 NE Gateway CT NE Ste 101
Concord, NC 28025-2424
Phone
(704) 403-9239
Fax
(704) 403-9204
NPI assigned
Feb 16, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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 P21681 NC Primary

Addresses

Primary practice location

1090 NE Gateway CT NE Ste 101
Concord, NC 28025-2424

Mailing address

10628 Park Rd
Charlotte, NC 28210-8407
Phone (704) 667-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230111001033 NC Practitioner - Physical Therapist in Private Practice 3274822382 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atrium Health Specialty Network IncGroup PAC ID 5193245801, 248 clinicians
Duke University Health System, IncGroup PAC ID 2567372345, 1,083 clinicians

Practice addresses (Care Compare)

1090 NE Gateway CT NE
Suite 204a
Concord, NC 28025-2414
Phone (704) 403-9239

40 Duke Medicine Cir
Durham, NC 27710-4000
Phone (919) 684-8111

4525 Cameron Valley Pkwy
Charlotte, NC 28211-4369
Phone (704) 468-8874

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Duke University Health System, Inc. Physical Therapist CurrentSince Feb 21, 2025 Accepting new patients
Atrium Health Specialty Network Inc Physical Therapist CurrentSince Apr 11, 2025 Accepting new patients
Orthocarolina Physical Therapist CurrentSince Jan 9, 2023 Accepting new patients
North Carolina Luna Care Physical Therapy LLC Physical Therapist CurrentSince Nov 13, 2023 Accepting new patients
Orthocarolina Physical Therapist CurrentSince Jan 9, 2023 Accepting new patients
Duke University Health System, Inc. CurrentSince Feb 21, 2025 Accepting new patients

Locations

540 Mount Holly Medical Pkwy
Belmont, NC 28012
Phone (704) 323-3337

209 Park St
Belmont, NC 28012
Phone (704) 323-3337

4525 Cameron Valley Pkwy
Charlotte, NC 28211
Phone (704) 355-5100

4601 Park Rd
Ste 300
Charlotte, NC 28209
Phone (704) 323-2090

1915 Randolph Rd
Charlotte, NC 28207
Phone (704) 339-1000

1090 NE Gateway Ct NE
Ste 101
Concord, NC 28025
Phone (704) 403-9100

40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588

2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289

Organizations & group practices 6

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": "1455580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1295194561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10628 PARK RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108407",
            "telephone_number": "704-667-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 NE GATEWAY CT NE STE 101",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252424",
            "telephone_number": "704-403-9239",
            "fax_number": "704-403-9204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "TYLER",
        "middle_name": "LANG",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-16",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P21681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; 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.