Tyler James Lotz, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10386 Issued in SC

Practice address

4340 Ladson Rd Ste B
Ladson, SC 29456-6444

Phone

(433) 765-0568

Fax

(843) 376-2730

NPI assigned

Feb 11, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Palmetto Primary Care Physicians, LLC

  dba PPCP Canterbury House

  • Family Medicine Physician
  • Charleston, SC
  • NPI 1073234928
  Medicare reassignment NPD
• Palmetto Primary Care Physicians, LLC

  • Family Medicine Physician
  • Summerville, SC
  • NPI 1366123739
  NPD
• Palmetto Primary Care Physicians, LLC

  • Audiologist
  • Ladson, SC
  • NPI 1982175451
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1549843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1679039028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 530062",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303530062",
            "telephone_number": "843-695-6071",
            "fax_number": "843-569-5879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4340 LADSON RD STE B",
            "city": "LADSON",
            "state": "SC",
            "postal_code": "294566444",
            "telephone_number": "433-765-0568",
            "fax_number": "843-376-2730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "912 Inlet Square Dr",
            "address_purpose": "LOCATION",
            "city": "Murrells Inlet",
            "state": "SC",
            "postal_code": "295767812",
            "country_code": "US",
            "telephone_number": "843-350-6150",
            "fax_number": "843-823-7309",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7611 Saint Andrews Rd",
            "address_purpose": "LOCATION",
            "city": "Irmo",
            "state": "SC",
            "postal_code": "290632834",
            "country_code": "US",
            "telephone_number": "803-274-6099",
            "fax_number": "803-302-4020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2500 Elms Center Rd # B",
            "address_purpose": "LOCATION",
            "city": "N Charleston",
            "state": "SC",
            "postal_code": "294069844",
            "country_code": "US",
            "telephone_number": "843-203-5051",
            "fax_number": "843-806-2941",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7611 Saint Andrews Rd",
            "address_purpose": "LOCATION",
            "city": "Irmo",
            "state": "SC",
            "postal_code": "290632834",
            "country_code": "US",
            "telephone_number": "803-274-6099",
            "fax_number": "803-302-4020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2500 Elms Center Rd # B",
            "address_purpose": "LOCATION",
            "city": "N Charleston",
            "state": "SC",
            "postal_code": "294069844",
            "country_code": "US",
            "telephone_number": "843-203-5051",
            "fax_number": "843-806-2941",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "912 Inlet Square Dr",
            "address_purpose": "LOCATION",
            "city": "Murrells Inlet",
            "state": "SC",
            "postal_code": "295767812",
            "country_code": "US",
            "telephone_number": "843-350-6150",
            "fax_number": "843-823-7309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOTZ",
        "first_name": "TYLER",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-11",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "27355",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "10386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TH4327",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sherita Limehouse
• Briana Litton, CCC-SLP
• Jeremy Lloyd, FNP
• Roberta Lockwood
• Erica A Lopez, O.T.
• Analise Love, CCC-SLP
• Corey Nicole Lundhagen
• Alea Luther, OTR/L
• Kathleen Alyson Macconnell, MS,OTR/L
• Heather Barwick Maharrey, PT

• Physical Therapist in Ladson, SC
• Providers in Ladson, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.