Active NPI
Tyler Adams
- Physical Therapist
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1312408
- Practice address
- 4532 W Gate Blvd Ste 100
Austin, TX 78745-1410 - Phone
- (512) 892-7337
- NPI assigned
- Aug 23, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1312408 | TX | Primary |
| Physical Therapist | 225100000X | 3122953 | TX |
Addresses
Primary practice location
4532 W Gate Blvd Ste 100
Austin, TX 78745-1410
Mailing address
12508 Jones Maltsberger Rd Ste 110
San Antonio, TX 78247-4215
Phone (888) 590-4002
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181120001953 | TX | Practitioner - Physical Therapist in Private Practice | 2365796869 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Texas Physical Therapy Specialists, Inc
Practice addresses (Care Compare)
4532 W Gate Blvd
Suite 100
Austin, TX 78745-1463
Phone (512) 892-7337
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3122953 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Physical Therapy Specialists, Inc. | Physical Therapist | Current | Accepting new patients |
| Texas Physical Therapy Specialists | Current | Accepting new patients |
Locations
6836 Austin Center Blvd
Ste 180
Austin, TX 78731
Phone (512) 225-1002
4532 West Gate Blvd
Ste 100
Austin, TX 78745
Phone (512) 892-7337
11150 Research Blvd
Ste 212
Austin, TX 78759
Phone (512) 794-8863
1789 S Bagdad Rd
Ste 102
Leander, TX 78641
Phone (512) 337-8970
7505 N Loop 1604 E
Ste 101
Live Oak, TX 78233
Phone (210) 590-4000
1324 E Common St
Ste 307
New Braunfels, TX 78130
Phone (830) 625-7310
12508 Jones Maltsberger Rd
Ste 110
San Antonio, TX 78247
Organizations & group practices 2
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.
-
- Physical Therapist
- New Braunfels, TX
- NPI 1689781338
-
- Durable Medical Equipment & Medical Supplies
- Austin, TX
- NPI 1568049484
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541462400000",
"number": "1619458015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12508 JONES MALTSBERGER RD STE 110",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782474215",
"telephone_number": "888-590-4002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4532 W GATE BLVD STE 100",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787451410",
"telephone_number": "512-892-7337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "TYLER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-23",
"last_updated": "2018-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1312408",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "3122953",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; 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.