Active NPI
Tyler Rowley, CPO
- Prosthetist
- Redding, CA
National Provider Identifier
1346741980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- Practice address
- 1844 South St
Redding, CA 96001-1809 - Phone
- (530) 243-4500
- Fax
- (530) 243-4554
- NPI assigned
- Feb 27, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | |||
| Prosthetist | 224P00000X | Primary |
Addresses
Primary practice location
1844 South St
Redding, CA 96001-1809
Mailing address
1844 South St
Redding, CA 96001-1809
Phone (530) 243-4500
Other practice location 1
1399 Montgomery Rd
Red Bluff, CA 96080-4604
Phone (530) 528-2200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PG0073849001 | Other | CA | BLUE SHIELD OF CA |
| GFC000180 | Medicaid | CA |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectrum Prosthetics & Orthotics of Redding, Inc. | Past | Accepting new patients | |
| Spectrum Prosthetics & Orthotics of Redding 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 and National Provider Directory roles.
-
- Prosthetic/Orthotic Supplier
- Redding, CA
- NPI 1639173537
-
- Prosthetic/Orthotic Supplier
- Red Bluff, CA
- NPI 1013173848
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606176000000",
"number": "1346741980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1844 SOUTH ST",
"city": "REDDING",
"state": "CA",
"postal_code": "960011809",
"telephone_number": "530-243-4500",
"fax_number": "530-243-4554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1844 SOUTH ST",
"city": "REDDING",
"state": "CA",
"postal_code": "960011809",
"telephone_number": "530-243-4500",
"fax_number": "530-243-4554"
}
],
"practiceLocations": [
{
"address_1": "1399 Montgomery Rd",
"address_purpose": "LOCATION",
"city": "Red Bluff",
"state": "CA",
"postal_code": "960804604",
"country_code": "US",
"telephone_number": "530-528-2200",
"fax_number": "530-528-2290",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROWLEY",
"first_name": "TYLER",
"credential": "CPO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-02-27",
"last_updated": "2020-11-24",
"certification_date": "2020-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": null,
"license": null,
"primary": false
},
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF CA",
"identifier": "PG0073849001",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GFC000180",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.