Active NPI
Tyler Deming
- Physical Therapist
- Oakland, CA
National Provider Identifier
1336516095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 42996
- Practice address
- 1814 Franklin St Ste 905
Oakland, CA 94612-3438 - Phone
- (510) 893-7463
- NPI assigned
- Aug 28, 2015
- Last updated
- Aug 28, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 42996 | CA | Primary |
Addresses
Primary practice location
1814 Franklin St Ste 905
Oakland, CA 94612-3438
Mailing address
224 30TH St
San Francisco, CA 94131-2421
Phone (203) 671-5379
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
| License | State | Type | Specialty |
|---|---|---|---|
| 42996 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novacare Rehabilitation | Past | Accepting new patients | |
| Vibrantcare Outpatient Rehabilitation of California Inc | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Disabilities Residential Treatment Facility
- Oakland, CA
- NPI 1962460691
-
dba VibrantCare Outpatient Rehabilitation
- Physical Therapy Clinic/Center
- Los Gatos, CA
- NPI 1154325769
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440720000000",
"number": "1336516095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224 30TH ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941312421",
"telephone_number": "203-671-5379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1814 FRANKLIN ST STE 905",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946123438",
"telephone_number": "510-893-7463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMING",
"first_name": "TYLER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-28",
"last_updated": "2015-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "42996",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.