Active NPI
Tyler Allen Wolfe, PT, DPT, NCS
- Physical Therapist
- Dover, NH
National Provider Identifier
1669218541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- CP041032T
- Practice address
- 60 Middle Rd
Dover, NH 03820-4162 - Phone
- (603) 743-4110
- NPI assigned
- Jul 1, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4347 | AR | |
| Physical Therapist | 225100000X | 223416 | AK | |
| Physical Therapist | 225100000X | CP041032T | NH | Primary |
Addresses
Primary practice location
60 Middle Rd
Dover, NH 03820-4162
Mailing address
6215 Ferris SQ Ste 120
San Diego, CA 92121-3251
Phone (800) 683-1209
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 |
|---|---|---|---|
| 223416 | AK | MD | Physical Therapist |
| 4347 | AR | MD | Physical Therapist |
| CP041032T | NH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738713600000",
"number": "1669218541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6215 FERRIS SQ STE 120",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921213251",
"telephone_number": "800-683-1209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 MIDDLE RD",
"city": "DOVER",
"state": "NH",
"postal_code": "038204162",
"telephone_number": "603-743-4110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLFE",
"first_name": "TYLER",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "PT, DPT, NCS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-07-01",
"last_updated": "2025-02-05",
"certification_date": "2025-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "4347",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AK",
"license": "223416",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NH",
"license": "CP041032T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dover, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.