Individual provider Active NPI

Tyler Harrington

  • Physical Therapist
  • Verona, WI
National Provider Identifier
1508346164
Registry record updated Aug 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
14433-24 Issued in WI
Practice address
416 E Verona Ave
Verona, WI 53593-1227
Phone
(608) 848-6628
NPI assigned
Aug 14, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 14433-24 WI Primary

Addresses

Primary practice location

416 E Verona Ave
Verona, WI 53593-1227

Mailing address

1921 Manley St
Madison, WI 53704-3321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181016001454 WI Practitioner - Physical Therapist in Private Practice 3274885496 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14433-24WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Capitol Physical Therapy Specialists LLC Physical Therapist CurrentSince Jun 29, 2019 Accepting new patients
Associated Physicians, LLP Physical Therapist CurrentSince Apr 1, 2019 Accepting new patients

Locations

4410 Regent St
Madison, WI 53705
Phone (608) 233-9746

1215 Springdale St
Mount Horeb, WI 53572
Phone (608) 437-0222

416 E Verona Ave
Verona, WI 53593
Phone (608) 848-6628

223 S Century Ave
Waunakee, WI 53597
Phone (608) 850-7275

Organizations & group practices 2

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": "1534204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534204800000",
    "number": "1508346164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 MANLEY ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537043321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 E VERONA AVE",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535931227",
            "telephone_number": "608-848-6628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRINGTON",
        "first_name": "TYLER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-14",
        "last_updated": "2018-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "14433-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Verona, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.