Individual provider Active NPI

Tyler Eckhardt, DPT

  • Physical Therapist
  • West Monroe, LA
National Provider Identifier
1376949149
Registry record updated Nov 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
08954 Issued in LA
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

Updated by the provider on Nov 6, 2014

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 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

Enrollment IDStateProvider typePAC IDDetails
I20141229000386 LA Practitioner - Physical Therapist in Private Practice 7113240052 Reassigns benefits to 4 organizations

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
Northeast Louisiana RehabilitationGroup PAC ID 8123315025, 6 clinicians

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

LicenseStateTypeSpecialty
08954LAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ouachita Physical Therapy,Inc. Physical Therapist CurrentSince Jun 1, 2018 Accepting new patients
Winnsboro Physical Therapy, Inc Physical Therapist CurrentSince Jun 1, 2018 Accepting new patients
Melanie Massey Physical Therapy Inc Physical Therapist CurrentSince Nov 5, 2014 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.

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.

Verify at the official NPI Registry.