Tyler J Patrick, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-3896 Issued in HI

Practice address

78-6831 Alii Dr
#420
Kailua Kona, HI 96740-2495

Phone

(808) 498-4144

Fax

(808) 498-4153

NPI assigned

Aug 14, 2013

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

Enrolled in OR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Therapydia IncGroup PAC ID 2264678226, 35 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Therapydia, Inc.

  • Physical Therapist
  • Portland, OR
  • NPI 1346672797
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1376438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417132800000",
    "number": "1548693518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78-6831 ALII DR",
            "address_2": "#420",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967402495",
            "telephone_number": "808-498-4144",
            "fax_number": "808-498-4153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78-6831 ALII DR",
            "address_2": "#420",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967402495",
            "telephone_number": "808-498-4144",
            "fax_number": "808-498-4153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRICK",
        "first_name": "TYLER",
        "middle_name": "J",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-14",
        "last_updated": "2014-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT-3896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April Parks
• Kelia Parrilla
• Nicolee R. Parrish, LMT
• Chandrakant C Patel, MD
• Harshal Patel, D.O.
• Joy Pattee, LAC
• Pau Hana Massage LLC
• Shauna Lee Paul, BCBA
• Pearl Harbor Care Inc
• Melanie Camille Pekala, FNP-C

• Physical Therapist in Kailua Kona, HI
• Providers in Kailua Kona, HI by specialty
• Physical Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2014; 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.