Active NPI
Tyler Marshall, PT, DPT, SCS, OMT-C,
- Physical Therapist
- Columbus, OH
National Provider Identifier
1497409239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 017233
- Practice address
- 4200 Regent St Ste 200
Columbus, OH 43219-6229 - Phone
- (866) 839-6979
- NPI assigned
- Feb 10, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 017233 | OH | Primary |
Addresses
Primary practice location
4200 Regent St Ste 200
Columbus, OH 43219-6229
Mailing address
8479 Denallen Dr
Cincinnati, OH 45255-2677
Phone (321) 759-3988
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017233 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644451200000",
"number": "1497409239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8479 DENALLEN DR",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452552677",
"telephone_number": "321-759-3988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 REGENT ST STE 200",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432196229",
"telephone_number": "866-839-6979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHALL",
"first_name": "TYLER",
"credential": "PT, DPT, SCS, OMT-C,",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-02-10",
"last_updated": "2022-02-10",
"certification_date": "2022-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "017233",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.