Individual provider Active NPI

Tyler Lee Heflin, PT

  • Physical Therapist
  • Lawrenceville, IL
National Provider Identifier
1679177307
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.029849 Issued in IL
Practice address
2200 State St
Lawrenceville, IL 62439-1899
Phone
(618) 943-1000
NPI assigned
Nov 23, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070.029849 IL Primary
Orthopedic Physical Therapist 2251X0800X 070.029849 IL

Addresses

Primary practice location

2200 State St
Lawrenceville, IL 62439-1899

Mailing address

2800 E 1225TH Ave
Oblong, IL 62449-2526
Phone (618) 421-2031

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241126002911 TN Practitioner - Physical Therapist in Private Practice 1153720024 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Omspt Holdings LLCGroup PAC ID 1850789066, 13 clinicians

Practice addresses (Care Compare)

11 Vaughns Gap Rd
Nashville, TN 37205-4303
Phone (615) 988-6852

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
298723CAMDPhysical Therapist
PT298723CAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
At Home by Enhance Therapies LLC Physical Therapist CurrentSince Aug 1, 2024 Accepting new patients
Omspt Holdings LLC Physical Therapist CurrentSince Dec 1, 2024 Accepting new patients
Omspt Holdings LLC Physical Therapist CurrentSince Dec 1, 2024 Accepting new patients
Sports & Orthopedic Leaders Physical Therapy, Inc Physical Therapist PastSince Feb 18, 2025 Accepting new patients
Omspt Holdings LLC Physical Therapist Past Accepting new patients
Kime Performance Nevada LLC PastSince May 16, 2021 Accepting new patients
Alves & Martinez Physical Therapy and Athletic Performance Physical Therapist PastSince Nov 1, 2020 Accepting new patients

Locations

1212 Bath Ave
Ste 350
Ashland, KY 41101

400 Route 70
Lakewood, NJ 08701
Phone (732) 802-7512

230 Glenis Dr
Ste 302
Murfreesboro, TN 37129

11 Vaughns Gap Rd
Nashville, TN 37205
Phone (606) 324-0540

1808 8th Ave S
Nashville, TN 37203
Phone (615) 298-3399

2011 Murphy Ave
Ste 603
Nashville, TN 37203
Phone (615) 329-2520

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1606089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1679177307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 E 1225TH AVE",
            "city": "OBLONG",
            "state": "IL",
            "postal_code": "624492526",
            "telephone_number": "618-421-2031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 STATE ST",
            "city": "LAWRENCEVILLE",
            "state": "IL",
            "postal_code": "624391899",
            "telephone_number": "618-943-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEFLIN",
        "first_name": "TYLER",
        "middle_name": "LEE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-23",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.029849",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "IL",
            "license": "070.029849",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; 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.