Samantha Elise Tyler, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

14260-24 Issued in WI

Practice address

336 Fairgrounds Rd
Hamilton, MT 59840-3126

Phone

(406) 375-0980

NPI assigned

Jun 3, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

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 and National Provider Directory roles.

• Lakeview Medical Center Inc of Rice Lake

  • Clinic/Center
  • Rice Lake, WI
  • NPI 1093201832
  Medicare reassignment NPD
• Marshfield Clinic Inc

  • Clinic/Center
  • Marshfield, WI
  • NPI 1952347981
  Medicare reassignment NPD

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

{
    "created_epoch": "1527984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527984000000",
    "number": "1689166944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W57N517 HILBERT AVE APT 36",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "530122049",
            "telephone_number": "715-566-3696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 FAIRGROUNDS RD",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598403126",
            "telephone_number": "406-375-0980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYLER",
        "first_name": "SAMANTHA",
        "middle_name": "ELISE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-03",
        "last_updated": "2018-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "14260-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• True North Direct Primary Care, LLC
• True North Transformative Health LLC
• Kendra E Tucker, LCSW
• Turtle Gap, Inc.
• Two Sisters Home Care of Montana -LLC
• Samuel P Urso, D.O.
• Jennifer Marie Van de Baan, NP-C
• Robert A F Vanmarle, MSW LCSW
• Vicky B. Varichak, LAC
• Mary Vermillion, RN

• Physical Therapist in Hamilton, MT
• Providers in Hamilton, MT by specialty
• Physical Therapist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2018; 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.