Tyler West, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1322543 Issued in TX

Practice address

28255 Interstate 10 W Ste 103
Boerne, TX 78006-6508

Phone

(830) 755-5223

Fax

(210) 314-4609

NPI assigned

Aug 13, 2019

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

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Liberty Rehabilitation Specialists IncGroup PAC ID 7012907033, 10 clinicians

Foundation Physical Therapy PLLCGroup PAC ID 0648428987, 10 clinicians

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.

• Foundation Physical Therapy, PLLC

  • Physical Therapy Clinic/Center
  • San Antonio, TX
  • NPI 1104103852

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Liberty Rehabilitation Specialists Inc

  • Physical Therapist
  • San Antonio, TX
  • NPI 1912939414
  Medicare reassignment Care Compare group NPD
• Liberty Rehabilitation Specialists Inc

  • Physical Therapist
  • San Antonio, TX
  • NPI 1649295775
  NPD

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

{
    "created_epoch": "1565654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1497301782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19141 STONE OAK PKWY STE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583367",
            "telephone_number": "210-268-0129",
            "fax_number": "210-568-4064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28255 INTERSTATE 10 W STE 103",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780066508",
            "telephone_number": "830-755-5223",
            "fax_number": "210-314-4609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "TYLER",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-13",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1322543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tcpa2@ppdxdirect.com",
            "affiliation": "Y",
            "endpointDescription": "Direct",
            "affiliationName": "Tricity Pain Associates PA",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8401 Datapoint Dr Ste 401",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782295925",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tcpa2@ppdxdirect.com",
            "affiliation": "Y",
            "endpointDescription": "Direct",
            "affiliationName": "Tricity Pain Associates PA",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "20323 Huebner Rd Ste 104",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782583446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brent Lane Wells, P.T.,D.P.T., O.C.S
• Keianna Wells, RBT
• Andrew Steven Welsch, D.C.
• West Bandera Dental, PLLC
• West Texas Urgent Care LLC
• Lisa Wester
• Kathryn Elizabeth Whitacre
• Donna White
• Emily K White, PT, DPT
• Walden Shelby White, LPC

• Physical Therapist in Boerne, TX
• Providers in Boerne, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; 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.