Individual provider Active NPI

Tyler Truitt, DPT, PT

  • Physical Therapist
  • Fort Worth, TX
National Provider Identifier
1336682533
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1283919 Issued in TX
Practice address
5500 Overton Ridge Blvd Ste 228
Fort Worth, TX 76132-3281
Phone
(817) 259-1255
Fax
(817) 764-9008
NPI assigned
Nov 21, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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 1283919 TX Primary

Addresses

Primary practice location

5500 Overton Ridge Blvd Ste 228
Fort Worth, TX 76132-3281

Mailing address

5500 Overton Ridge Blvd Ste 228
Fort Worth, TX 76132-3281
Phone (817) 259-1255

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190501001184 TX Practitioner - Physical Therapist in Private Practice 0749522340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ratner Center for Physical Therapy and Wellness, LLCGroup PAC ID 8921355280, 11 clinicians

Practice addresses (Care Compare)

5500 Overton Ridge Blvd
Suite 228
Fort Worth, TX 76132-3281
Phone (817) 259-1255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1283919TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ratner Center for Physical Therapy and Wellness, LLC Physical Therapist CurrentSince Nov 1, 2023 Accepting new patients
Texas Health Huguley, Inc. PastSince Mar 18, 2019 Accepting new patients
Sportherapy LLC Physical Therapist PastSince Nov 1, 2023 Accepting new patients

Locations

5500 Overton Ridge Blvd
Ste 228
Ft Worth, TX 76132
Phone (817) 259-1255

Organizations & group practices 3

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": "1479686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1336682533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 OVERTON RIDGE BLVD STE 228",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761323281",
            "telephone_number": "817-259-1255",
            "fax_number": "817-764-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 OVERTON RIDGE BLVD STE 228",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761323281",
            "telephone_number": "817-259-1255",
            "fax_number": "817-764-9008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUITT",
        "first_name": "TYLER",
        "credential": "DPT, PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-21",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1283919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; 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.