Tyler Storm Mathena, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305213407 Issued in VA

Practice address

2140 Franklin Tpke
Danville, VA 24540-5264

Phone

(434) 836-4158

NPI assigned

Feb 5, 2020

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Martinsville Physical Therapy and Industrial Rehabilitation

  • Physical Therapist
  • Martinsville, VA
  • NPI 1982610333
  NPD (past)

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1366074585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "478 JEANETTE DR",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245401049",
            "telephone_number": "434-770-0741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 FRANKLIN TPKE",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245405264",
            "telephone_number": "434-836-4158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHENA",
        "first_name": "TYLER",
        "middle_name": "STORM",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-05",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305213407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Martin
• Karla Martin, PHARMD
• Robert Carrington Martin II, CRNA
• Massage by Vickie
• Amanda Mathena, OTR/L
• Frederick Carl Maute, M.D.
• Ellen Maxwell
• Emily Maxwell, PHARM D
• Douglas R May, M.D.
• Michael Clayton May, DDS

• Physical Therapist in Danville, VA
• Providers in Danville, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.

Verify at the official NPI Registry.