Individual provider Active NPI

Tyler Jordan Castleton, P.T., D.P.T.

  • Physical Therapist
  • Mesa, AZ
National Provider Identifier
1679807085
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8653 Issued in AZ
Practice address
217 S 63Rd St Ste 101
Mesa, AZ 85206-6106
Phone
(480) 981-0900
NPI assigned
Oct 1, 2009
Last updated
Feb 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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 8653 AZ Primary

Addresses

Primary practice location

217 S 63Rd St Ste 101
Mesa, AZ 85206-6106

Mailing address

1257 W Warner Rd
Ste a-2
Chandler, AZ 85224-2713
Phone (480) 821-2286

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091104000130 AZ Practitioner - Physical Therapist in Private Practice 8820136385 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

217 S 63Rd St
Suite 101
Mesa, AZ 85206-6106
Phone (480) 981-0900

Merit-based Incentive Payment System (MIPS)

Final score
83.18 of 100Reported as group
Quality
80
Improvement activities
40
Cost
70.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Spooner Physical Therapy and Hand Rehab, PC Physical Therapist CurrentSince Oct 3, 2022 Accepting new patients
Spooner Physical Therapy & Hand Rehab, PC CurrentSince Oct 3, 2022 Accepting new patients
East Valley Physical Therapy & Aquatic Rehabilitation LTD Physical Therapist CurrentSince Feb 25, 2024 Accepting new patients
Spooner Chandler, PC Physical Therapist PastSince Oct 6, 2014 Accepting new patients

Locations

1257 W Warner Rd
Ste A2
Chandler, AZ 85224
Phone (480) 821-2286

1534 E Ray Rd
Ste 104
Gilbert, AZ 85296
Phone (480) 855-5542

217 S 63rd St
Ste 101
Mesa, AZ 85206
Phone (480) 981-0900

9097 E Desert Cove Ave
Ste 110
Scottsdale, AZ 85260
Phone (480) 860-4298

Organizations & group practices 4

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": "1254355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1679807085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1257 W WARNER RD",
            "address_2": "STE A-2",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852242713",
            "telephone_number": "480-821-2286",
            "fax_number": "480-899-9789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 S 63RD ST STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852066106",
            "telephone_number": "480-981-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTLETON",
        "first_name": "TYLER",
        "middle_name": "JORDAN",
        "credential": "P.T., D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-01",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "8653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; 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.