Active NPI
Tyler Vinson, DPT
- Physical Medicine & Rehabilitation Physician
- Saratoga, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 297320
- Practice address
- 18780 Cox Ave
Saratoga, CA 95070-4109 - Phone
- (408) 973-7700
- Fax
- (408) 973-1600
- NPI assigned
- Sep 3, 2019
- Last updated
- Sep 3, 2019
- Sex
- Male
- Sole proprietor
- No
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 Medicine & Rehabilitation Physician | 208100000X | 297320 | CA | Primary |
Addresses
Primary practice location
18780 Cox Ave
Saratoga, CA 95070-4109
Mailing address
18780 Cox Ave
Saratoga, CA 95070-4109
Phone (408) 973-7700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3825 El Camino Real
Palo Alto, CA 94306-3324
Phone (650) 565-8090
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 297320 | CA | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optm Physical Therapy of Saratoga, Inc. | Current | Accepting new patients | |
| Agile Physical Therapy Inc | Current | Accepting new patients | |
| California Luna Care Physical Therapy PC | Current | Accepting new patients |
Locations
16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 409-4167
3825 El Camino Real
Palo Alto, CA 94306
Phone (856) 296-2860
801 N San Mateo Dr
San Mateo, CA 94401
12930 Saratoga Ave
Ste B5
Saratoga, CA 95070
Phone (408) 763-4905
18780 Cox Ave
Saratoga, CA 95070
Phone (408) 370-7303
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.
-
- Physical Therapy Clinic/Center
- Palo Alto, CA
- NPI 1659445443
-
- Physical Therapist
- Los Gatos, CA
- NPI 1689162166
-
- Specialist
- Saratoga, CA
- NPI 1538131917
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567468800000",
"number": "1548818412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18780 COX AVE",
"city": "SARATOGA",
"state": "CA",
"postal_code": "950704109",
"telephone_number": "408-973-7700",
"fax_number": "408-973-1600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18780 COX AVE",
"city": "SARATOGA",
"state": "CA",
"postal_code": "950704109",
"telephone_number": "408-973-7700",
"fax_number": "408-973-1600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VINSON",
"first_name": "TYLER",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-09-03",
"last_updated": "2019-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "CA",
"license": "297320",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saratoga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; 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.