Tyler S Laird, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070025682 Issued in IL

Practice address

900 Main St Ste 450
Peoria, IL 61602-5018

Phone

(309) 672-4568

NPI assigned

Jan 12, 2021

Last updated

Jan 12, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 IL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Professional Therapy Services, Inc

  • Physical Therapist
  • Pekin, IL
  • NPI 1578615225
  Medicare reassignment NPD

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

{
    "created_epoch": "1610409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1609465913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 W TETON DR",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616142635",
            "telephone_number": "309-643-2885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 MAIN ST STE 450",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616025018",
            "telephone_number": "309-672-4568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAIRD",
        "first_name": "TYLER",
        "middle_name": "S",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-12",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070025682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Parashos A Lagouros, M.D.
• Amanda Lynn Lahood, APRN, CNP
• Anthony John Lahood, D.O.
• Lukas David Lahood, MD
• Timothy M Lahood, M.D.
• Roby Adhinayak Lal, DO
• Sarah Wei Lam, DO
• Austin J Lamb, M.D.
• Christine Marie Lamb, M.S. CCC-SLP/L
• Craig Lambourne, D.D.S.

• Physical Therapist in Peoria, IL
• Providers in Peoria, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; 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.