Tyler Todd, PT, DPT
Individual provider Active NPI Physical Therapist · Hawkins, TX
NPI 1295568129 · NPPES record last updated Aug 27, 2024
Key facts
- NPI
- 1295568129
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- CP033201T (NH)
- Practice address
- PO Box 24
Hawkins, TX 75765 - Phone
- (931) 436-7992
- NPI assigned
- Aug 26, 2024
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12355 | TN | MD | Pharmacist |
| CP033201T | NH | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 12355 | TN | |
| Physical Therapist | 225100000X | CP033201T | NH | Yes |
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
191 Hackett Hill Rd
Manchester, NH 03102-8502
Phone (603) 668-8161
Other practice location 2
771 County Road 3540
Hawkins, TX 75765-4800
Phone (931) 436-7992
Other providers in Hawkins, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.