Individual provider Active NPI

Tyler Edward Harman, PTA

  • Physical Therapy Assistant
  • Granbury, TX
National Provider Identifier
1487068896
Registry record updated Jun 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2082220 Issued in TX
Practice address
5310 Acton Hwy Ste 106
Granbury, TX 76049-3105
Phone
(817) 326-1375
Fax
(817) 326-2068
NPI assigned
Jun 12, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2082220 TX Primary

Addresses

Primary practice location

5310 Acton Hwy Ste 106
Granbury, TX 76049-3105

Mailing address

3008 Saunter LN
Granbury, TX 76049-8312

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
2082220TXMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Freedom Physical Therapy, Inc Physical Therapy Assistant PastSince Dec 1, 2005 Accepting new patients

Organizations & group practices 1

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": "1402531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402531200000",
    "number": "1487068896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3008 SAUNTER LN",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760498312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 ACTON HWY STE 106",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760493105",
            "telephone_number": "817-326-1375",
            "fax_number": "817-326-2068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARMAN",
        "first_name": "TYLER",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-12",
        "last_updated": "2014-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2082220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granbury, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2014; 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.