Tyler John Starkweather, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

8558 Issued in SC

Practice address

205 Grandview Dr Unit D
Summerville, SC 29483-6948

Phone

(843) 261-1000

Fax

(843) 261-1002

NPI assigned

May 11, 2017

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

Enrolled in SC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Atlas Physical Therapy, Inc

  • Physical Therapy Clinic/Center
  • Summerville, SC
  • NPI 1689903122

  Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1467988444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 GRANDVIEW DR UNIT D",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294836948",
            "telephone_number": "843-261-1000",
            "fax_number": "843-261-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 GRANDVIEW DR UNIT D",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294836948",
            "telephone_number": "843-261-1000",
            "fax_number": "843-261-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARKWEATHER",
        "first_name": "TYLER",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "8558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Nicole Stanley
• Gabrielle Stapf
• Star, LLC
• Star, LLC
• Kelly Marie Starbuck, LPC
• Serena Stasko
• State of South Carolina (SC Dhec)
• Amanda Paige Stater, DDS
• Jack Allan Stauffer, FNP
• Richard Anderson Steadman III, M.D.

• Physical Therapist in Summerville, SC
• Providers in Summerville, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.