Active NPI
Tyler Eckhardt, DPT
- Physical Therapist
- West Monroe, LA
National Provider Identifier
1376949149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 08954
- Practice address
- 107 Summer LN
West Monroe, LA 71291-3501 - Phone
- (318) 396-1969
- Fax
- (318) 396-1970
- NPI assigned
- Nov 6, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 08954 | LA | Primary |
Addresses
Primary practice location
107 Summer LN
West Monroe, LA 71291-3501
Mailing address
107 Summer LN
West Monroe, LA 71291-3501
Phone (318) 396-1969
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2601 Cypress St
West Monroe, LA 71291-4506
Phone (318) 381-9337
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08954 | LA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ouachita Physical Therapy,Inc. | Physical Therapist | Current | Accepting new patients |
| Winnsboro Physical Therapy, Inc | Physical Therapist | Current | Accepting new patients |
| Melanie Massey Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
| Melanie Massey Infant & Toddler LLC | Physical Therapist | Past | Accepting new patients |
Locations
1138 Oliver Rd
Monroe, LA 71201
Phone (318) 323-3031
107 Summer Ln
West Monroe, LA 71291
Phone (318) 396-1969
Organizations & group practices 5
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.
-
- Physical Therapist
- Farmerville, LA
- NPI 1417349929
-
- Physical Therapist
- Monroe, LA
- NPI 1104922475
-
- Physical Therapy Clinic/Center
- Monroe, LA
- NPI 1144270125
Physical Therapist
-
- Physical Therapist
- Winnsboro, LA
- NPI 1053359083
-
- Speech-Language Pathologist
- West Monroe, LA
- NPI 1447453865
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415232000000",
"number": "1376949149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 SUMMER LN",
"city": "WEST MONROE",
"state": "LA",
"postal_code": "712913501",
"telephone_number": "318-396-1969",
"fax_number": "318-396-1970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 SUMMER LN",
"city": "WEST MONROE",
"state": "LA",
"postal_code": "712913501",
"telephone_number": "318-396-1969",
"fax_number": "318-396-1970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECKHARDT",
"first_name": "TYLER",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-11-06",
"last_updated": "2014-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "08954",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Monroe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; 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.