Tyler Sanford, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

009023 Issued in KY

Practice address

11630 Commonwealth Dr
Louisville, KY 40299-2300

Phone

(502) 261-8333

NPI assigned

Feb 5, 2024

Sex

Male

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 KY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Baptist Health Medical Group Inc

  • Rural Health Clinic/Center
  • Dawson Springs, KY
  • NPI 1982178216
  Medicare reassignment NPD
• Baptist Health Medical Group Inc

  • Urgent Care Clinic/Center
  • Louisville, KY
  • NPI 1508269200
  NPD

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1699538264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4502 BLENHEIM RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402073416",
            "telephone_number": "501-922-7219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11630 COMMONWEALTH DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402992300",
            "telephone_number": "502-261-8333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANFORD",
        "first_name": "TYLER",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "KY",
            "license": "009023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Sandusky
• Dimitra Y. Sanford, LCSW
• Lacey G Sanford, APRN
• Michelle Sanford, BSN
• Shelby Sanford, RBT
• Walter Sheppard Sanford, PSYD
• Sangeeta Kapoor, PLLC
• Daisy Sangroula
• Alexandria Nicole Sanislow, MS, BCBA, LBA
• Ajeesh Sankaran, MS

• Orthopedic Physical Therapist in Louisville, KY
• Providers in Louisville, KY by specialty
• Orthopedic Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.