Individual provider Active NPI

Tyler Pyles, D.P.T.

  • Physical Therapist
  • Monroe, GA
National Provider Identifier
1366991580
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT012601 Issued in GA
Practice address
1865 Bold Springs Rd NW
Monroe, GA 30656-4605
Phone
(770) 267-1055
Fax
(770) 267-1054
NPI assigned
Sep 29, 2016
Last updated
Sep 15, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2020

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 PT012601 GA Primary

Addresses

Primary practice location

1865 Bold Springs Rd NW
Monroe, GA 30656-4605

Mailing address

1865 Bold Springs Rd NW
Monroe, GA 30656-4605
Phone (770) 267-1055

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tpyles16533@direct.orthovirginia.com Other

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200819000788 LA Practitioner - Physical Therapist in Private Practice 8224382569 Reassigns benefits to 2 organizations

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
Winnfield Physical Therapy LLCGroup PAC ID 8628441730, 3 clinicians

Practice addresses (Care Compare)

407 W Court St
Suite 2a
Winnfield, LA 71483-2743
Phone (318) 648-7482

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT012601GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Desoto Physical Therapy, L.L.C. Physical Therapist CurrentSince Jul 6, 2020 Accepting new patients
Winnfield Physical Therapy LLC Physical Therapist CurrentSince Feb 14, 2023 Accepting new patients
Winn Community Health Center, Inc. Past Accepting new patients

Locations

2070 Highway 171
Ste C
Stonewall, LA 71078
Phone (318) 775-9870

6252 Highway 167 N
Winnfield, LA 71483

6252 Highway 167 N
Ste D
Winnfield, LA 71483
Phone (318) 648-7482

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1475107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1366991580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1865 BOLD SPRINGS RD NW",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306564605",
            "telephone_number": "770-267-1055",
            "fax_number": "770-267-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1865 BOLD SPRINGS RD NW",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306564605",
            "telephone_number": "770-267-1055",
            "fax_number": "770-267-1054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PYLES",
        "first_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "D.P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-29",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT012601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tpyles16533@direct.orthovirginia.com",
            "affiliation": "N",
            "endpointDescription": "Dr. Pyles direct address",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "secure messaging",
            "address_1": "1865 Bold Springs Rd NW",
            "city": "Monroe",
            "state": "GA",
            "country_code": "US",
            "postal_code": "306564605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Monroe, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; 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.