Tyler Moore, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0018103 Issued in CO

Practice address

400 W Main St Ste 120
Aspen, CO 81611-1632

Phone

(970) 618-1412

NPI assigned

Dec 28, 2021

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Valley Performance Physical Therapy

  • Physical Therapist
  • Aspen, CO
  • NPI 1093561532
  NPD Authorized official
• Next Level Physical Therapy PC

  • Physical Therapist
  • Golden, CO
  • NPI 1063625937
  NPD (past)
• Next Level Physical Therapy PC

  • Physical Therapist
  • Golden, CO
  • NPI 1932297546
  NPD (past)

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

{
    "created_epoch": "1640649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1487314639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W MAIN ST STE 120",
            "city": "ASPEN",
            "state": "CO",
            "postal_code": "816111632",
            "telephone_number": "970-618-1412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W MAIN ST STE 120",
            "city": "ASPEN",
            "state": "CO",
            "postal_code": "816111632",
            "telephone_number": "970-618-1412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "TYLER",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-28",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0018103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindcare Solutions PC
• Barry Mink, M.D.
• Michelle Miscione, PHD
• Lauren Victoria Mitchell, MS, R.D.
• William Dunn Mitchell, MD
• Stephanie Rae Morris, M.A.
• Erica Ashley Morse, M.D.
• Luann Morton-Earl, LAC, MAC
• Mountain Minded Speech Therapy
• MTX Care Colorado, PLLC

• Physical Therapist in Aspen, CO
• Providers in Aspen, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; 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.