Active NPI
Tyler Brunetti
- Physical Therapy Assistant
- Columbus, OH
National Provider Identifier
1609484765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 011225
- Practice address
- 1515 Bethel Rd Ste 301
Columbus, OH 43220-2056 - Phone
- (740) 953-1184
- Fax
- (614) 702-7226
- NPI assigned
- Jul 15, 2020
- Last updated
- Jul 15, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 Therapy Assistant | 225200000X | 011225 | OH | Primary |
Addresses
Primary practice location
1515 Bethel Rd Ste 301
Columbus, OH 43220-2056
Mailing address
1515 Bethel Rd Ste 301
Columbus, OH 43220-2056
Phone (740) 953-1184
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011225 | OH | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Care Therapy LLC | Single Specialty | Current | Accepting new patients |
Locations
1515 Bethel Rd
Ste 301
Columbus, OH 43220
Phone (740) 953-1184
Organizations & group practices 1
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": "1594771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594771200000",
"number": "1609484765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 BETHEL RD STE 301",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432202056",
"telephone_number": "740-953-1184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 BETHEL RD STE 301",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432202056",
"telephone_number": "740-953-1184",
"fax_number": "614-702-7226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUNETTI",
"first_name": "TYLER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-07-15",
"last_updated": "2020-07-15",
"certification_date": "2020-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapy Assistant",
"state": "OH",
"license": "011225",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.