Individual provider Active NPI

Tyler R Hews, MPT

  • Physical Therapist
  • Caribou, ME
National Provider Identifier
1548410822
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT3478 Issued in ME
Practice address
163 Van Buren Rd Ste 1
Caribou, ME 04736-3588
Phone
(207) 498-1618
Fax
(207) 498-1653
NPI assigned
Sep 24, 2008
Last updated
Sep 15, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2020

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 PT3478 ME Primary

Addresses

Primary practice location

163 Van Buren Rd Ste 1
Caribou, ME 04736-3588

Mailing address

163 Van Buren Rd Ste 1
Caribou, ME 04736-3588
Phone (207) 498-1618

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081119000469 ME Practitioner - Physical Therapist in Private Practice 2860552957 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
City of Caribou CurrentSince Sep 26, 2020 Accepting new patients
Aroostook Mental Health Services, Inc. Past Accepting new patients
Coastal Rehab, LLC Physical Therapist PastSince Mar 1, 2005 Accepting new patients

Locations

163 Van Buren Rd
Ste 1
Caribou, ME 04736
Phone (207) 498-1227

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1548410822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 VAN BUREN RD STE 1",
            "city": "CARIBOU",
            "state": "ME",
            "postal_code": "047363588",
            "telephone_number": "207-498-1618",
            "fax_number": "207-498-1653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 VAN BUREN RD STE 1",
            "city": "CARIBOU",
            "state": "ME",
            "postal_code": "047363588",
            "telephone_number": "207-498-1618",
            "fax_number": "207-498-1653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEWS",
        "first_name": "TYLER",
        "middle_name": "R",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-24",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT3478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caribou, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; 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.