Individual provider Active NPI

Tyler John Giegerich, OTR/L

  • Physical Rehabilitation Occupational Therapist
  • Minneapolis, MN
National Provider Identifier
1417439357
Registry record updated Sep 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X
License
105752 Issued in MN
Practice address
512 49TH Ave N
Minneapolis, MN 55430-3621
Phone
(612) 278-7902
NPI assigned
Sep 6, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Rehabilitation Occupational Therapist 225XP0019X 105752 MN Primary

Addresses

Primary practice location

512 49TH Ave N
Minneapolis, MN 55430-3621

Mailing address

15233 Galante LN Apt 401
Apple Valley, MN 55124-4635
Phone (952) 270-2440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
105752MNMDPhysical Rehabilitation Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536192000000",
    "number": "1417439357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15233 GALANTE LN APT 401",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551244635",
            "telephone_number": "952-270-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 49TH AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554303621",
            "telephone_number": "612-278-7902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIEGERICH",
        "first_name": "TYLER",
        "middle_name": "JOHN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-06",
        "last_updated": "2018-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "MN",
            "license": "105752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; 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.