Individual provider Active NPI

Tyler Todd, PT, DPT

  • Physical Therapist
  • Hawkins, TX
National Provider Identifier
1295568129
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP033201T Issued in NH
Practice address
PO Box 24
Hawkins, TX 75765
Phone
(931) 436-7992
NPI assigned
Aug 26, 2024
Last updated
Aug 27, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 12355 TN
Physical Therapist 225100000X CP033201T NH Primary

Addresses

Primary practice location

PO Box 24
Hawkins, TX 75765

Mailing address

PO Box 24
Hawkins, TX 75765-0024
Phone (931) 436-7992

Other practice location 1

771 County Road 3540
Hawkins, TX 75765-4800
Phone (931) 436-7992

Other practice location 2

191 Hackett Hill Rd
Manchester, NH 03102-8502
Phone (603) 668-8161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12355TNMDPharmacist
CP033201TNHMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1724630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1295568129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24",
            "city": "HAWKINS",
            "state": "TX",
            "postal_code": "757650024",
            "telephone_number": "931-436-7992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 24",
            "city": "HAWKINS",
            "state": "TX",
            "postal_code": "75765",
            "telephone_number": "931-436-7992"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "771 County Road 3540",
            "address_purpose": "LOCATION",
            "city": "Hawkins",
            "state": "TX",
            "postal_code": "757654800",
            "country_code": "US",
            "telephone_number": "931-436-7992",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "191 Hackett Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "031028502",
            "country_code": "US",
            "telephone_number": "603-668-8161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TODD",
        "first_name": "TYLER",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-26",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "12355",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "CP033201T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawkins, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.