Individual provider Active NPI

Tyler Scott Burton, DPT

  • Physical Therapist
  • Meridian, ID
National Provider Identifier
1669003695
Registry record updated Jan 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6570 Issued in ID
Practice address
4181 Rangewood Way
Meridian, ID 83642-5065
Phone
(208) 740-3232
NPI assigned
Jan 29, 2020
Last updated
Jan 29, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6570 ID Primary

Addresses

Primary practice location

4181 Rangewood Way
Meridian, ID 83642-5065

Mailing address

4181 Rangewood Way
Meridian, ID 83642-5065

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
6570IDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Idaho State University CurrentSince Jan 1, 2024 Accepting new patients
Idaho State University Physical Therapist CurrentSince Jan 1, 2024 Accepting new patients
Keystone Hospice, LLC CurrentSince Feb 1, 2020 Accepting new patients
Zona Physical Therapy CurrentSince Feb 2, 2020 Accepting new patients
Rehabauthority, LLC Physical Therapist CurrentSince Jun 6, 2022 Accepting new patients
Key Stone Health Care CurrentSince Feb 1, 2020 Accepting new patients
Idaho State University Current Accepting new patients

Locations

10790 W Overland Rd
Boise, ID 83709
Phone (208) 322-8709

5520 N Eagle Rd
Ste 102
Boise, ID 83713
Phone (208) 938-5255

120 E Pine St
Caldwell, ID 83605
Phone (208) 454-5142

21 N Fisher Park Way
Eagle, ID 83616
Phone (208) 514-0670

134 E Idaho Ave
Homedale, ID 83628
Phone (208) 337-3254

720 S Woodruff Ave
Idaho Falls, ID 83401
Phone (208) 322-8709

1311 E Central Dr
Meridian, ID 83642
Phone (208) 373-1734

337 W Iowa Ave
Nampa, ID 83686
Phone (208) 305-6838

64 S Star Rd
#2
Star, ID 83669
Phone (208) 488-4250

Organizations & group practices 7

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": "1580256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1669003695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4181 RANGEWOOD WAY",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836425065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4181 RANGEWOOD WAY",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836425065",
            "telephone_number": "208-740-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURTON",
        "first_name": "TYLER",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-29",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "6570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.

Verify at the official NPI Registry.