Individual provider Active NPI

Tyler Sauder

  • Physical Therapist
  • Blue Bell, PA
National Provider Identifier
1679128714
Registry record updated Nov 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT028034 Issued in PA
Practice address
1734 Dekalb Pike Unit 4
Blue Bell, PA 19422-3352
Phone
(610) 707-8088
Fax
(610) 707-8089
NPI assigned
Aug 6, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT028034 PA
Physical Therapist 225100000X PT028034 PA Primary

Addresses

Primary practice location

1734 Dekalb Pike Unit 4
Blue Bell, PA 19422-3352

Mailing address

1311 Mamaroneck Ave Ste 140
White Plains, NY 10605-5224
Phone (914) 294-4050

Other practice location 1

466 Germantown Pike Ste 200
Lafayette Hill, PA 19444-1805
Phone (610) 832-7510

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191122001215 PA Practitioner - Physical Therapist in Private Practice 0345672762 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progress Physical Therapy LLCGroup PAC ID 1951530849, 430 clinicians

Practice addresses (Care Compare)

301 E Germantown Pike
FL 1
East Norriton, PA 19401-6517
Phone (484) 681-4540

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT028034PAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic and Sports Physical Therapy Services, Inc. Physical Therapist CurrentSince Oct 1, 2019 Accepting new patients
Progress Physical Therapy LLC Physical Therapist CurrentSince Dec 1, 2023 Accepting new patients
Physical Therapy and Wellness Institute LLC Physical Therapist CurrentSince Oct 11, 2021 Accepting new patients

Locations

1311 Mamaroneck Ave
Ste 140
White Plains, NY 10605
Phone (914) 265-4838

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

1734 DeKalb Pike
Unit 4
Blue Bell, PA 19422
Phone (610) 707-8088

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

466 Germantown Pike
Ste 200
Lafayette Hill, PA 19444
Phone (610) 832-7510

730 S Broad St
Lansdale, PA 19446
Phone (215) 855-9871

301 E Germantown Pike
Fl 1
Norristown, PA 19401
Phone (484) 681-4540

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1565049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637020800000",
    "number": "1679128714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 MAMARONECK AVE STE 140",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106055224",
            "telephone_number": "914-294-4050",
            "fax_number": "631-824-9219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1734 DEKALB PIKE UNIT 4",
            "city": "BLUE BELL",
            "state": "PA",
            "postal_code": "194223352",
            "telephone_number": "610-707-8088",
            "fax_number": "610-707-8089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "466 Germantown Pike Ste 200",
            "address_purpose": "LOCATION",
            "city": "Lafayette Hill",
            "state": "PA",
            "postal_code": "194441805",
            "country_code": "US",
            "telephone_number": "610-832-7510",
            "fax_number": "610-832-5964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAUDER",
        "first_name": "TYLER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-06",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "PA",
            "license": "PT028034",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT028034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Bell, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.