Individual provider Active NPI

Tyler Hastings

  • Orthopedic Physical Therapist
  • Media, PA
National Provider Identifier
1619647351
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT029903 Issued in PA
Practice address
101 N Monroe St
Media, PA 19063-3037
Phone
(484) 444-0135
NPI assigned
Sep 15, 2021
Last updated
Sep 15, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT029903 PA Primary

Addresses

Primary practice location

101 N Monroe St
Media, PA 19063-3037

Mailing address

475 Allendale Rd Ste 206
King of Prussia, PA 19406-1495
Phone (610) 270-0370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210922003766 PA Practitioner - Physical Therapist in Private Practice 8628475324 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Motive Sports and Physical Therapy Malvern LLCGroup PAC ID 7113459587, 15 clinicians

Practice addresses (Care Compare)

1175 Lancaster Ave
Suite 100
Berwyn, PA 19312-1297
Phone (484) 583-4113

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT029903PAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Christine F. Hayes P.T, P.C. Orthopedic CurrentSince Feb 28, 2023 Accepting new patients
Motive Sports and Physical Therapy, PLLC CurrentSince Dec 27, 2024 Accepting new patients
Orthopedic and Sports Physical Therapy Services, Inc. Orthopedic CurrentSince Sep 13, 2021 Accepting new patients
Motive Sports and Physical Therapy Malvern, LLC Orthopedic CurrentSince Sep 5, 2024 Accepting new patients

Locations

1175 Lancaster Ave
Berwyn, PA 19312
Phone (610) 651-8282

1175 Lancaster Ave
Ste 100
Berwyn, PA 19312
Phone (484) 583-4113

91 Wilmington W Chester Pike
Ste 28
Chadds Ford, PA 19317
Phone (302) 584-5621

475 Allendale Rd
Ste 206
Kng of Prussa, PA 19406
Phone (610) 270-0370

101 Lindenwood Dr
Ste 225
Malvern, PA 19355
Phone (610) 504-4476

480 Lancaster Ave
Unit 4
Malvern, PA 19355
Phone (610) 500-5296

101 N Monroe St
Media, PA 19063
Phone (484) 444-0135

280 N Providence Rd
Ste 100
Media, PA 19063
Phone (610) 424-5800

195 W Lancaster Ave
Ste 3
Paoli, PA 19301
Phone (610) 695-9913

Organizations & group practices 4

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": "1631664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1619647351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 ALLENDALE RD STE 206",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061495",
            "telephone_number": "610-270-0370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N MONROE ST",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190633037",
            "telephone_number": "484-444-0135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASTINGS",
        "first_name": "TYLER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-15",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "PA",
            "license": "PT029903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Media, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; 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.