Tyler Christopher Wen

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

300610 Issued in CA

Practice address

10309 Santa Monica Blvd Ste 200
Los Angeles, CA 90025-5007

Phone

(310) 553-5984

NPI assigned

Aug 30, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Group practices

Fabrizio Physical Therapy and Sports Medicine IncGroup PAC ID 1456448273, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Fabrizio Physical Therapy and Sports Medicine, Inc

  • Specialist
  • Los Angeles, CA
  • NPI 1770650277

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1346918000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4969 DUNMAN AVE",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642720",
            "telephone_number": "818-517-6582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10309 SANTA MONICA BLVD STE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255007",
            "telephone_number": "310-553-5984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEN",
        "first_name": "TYLER",
        "middle_name": "CHRISTOPHER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-30",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "300610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Weltsch, MD
• Matthew Welzenbach, MD
• Wen Sheng Wang Dental Corporation
• Shirley Sheung-Lin Wen
• Shumin Wen, DDS
• Yu-Ching Eugenia Wen, M.D.
• Melissa Wenceslao
• Danielle Marie Wencl
• Isadore Wendel, PH.D.
• Shirley Victoria Wendell, N.P.

• Physical Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; 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.