Tyler Niemack, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT60492910 Issued in WA

Practice address

3455 Lutheran Pkwy Ste 105
Wheat Ridge, CO 80033-6028

Phone

(303) 665-2603

NPI assigned

Oct 1, 2014

Last updated

Apr 25, 2023By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

43.24 of 100Reported as group

Quality

73.53

Promoting interoperability

0

Improvement activities

0

Cost

70.6

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1412121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1700289055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 ORCHARD ST W",
            "address_2": "STE. 100",
            "city": "FIRCREST",
            "state": "WA",
            "postal_code": "984666606",
            "telephone_number": "253-564-1560",
            "fax_number": "253-564-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 LUTHERAN PKWY STE 105",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336028",
            "telephone_number": "303-665-2603"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "451 SW Sedgwick Rd",
            "address_2": "Ste. 310",
            "address_purpose": "LOCATION",
            "city": "Port Orchard",
            "state": "WA",
            "postal_code": "983676447",
            "country_code": "US",
            "telephone_number": "360-874-8009",
            "fax_number": "360-874-8010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIEMACK",
        "first_name": "TYLER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-01",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60492910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trang Thi Nguyen, FNP
• Laura D Nichls, MS
• Abigail Nicholas
• Dolores J Nickel, M.S. LPC
• Rachel Nielsen, PSYD
• Krista Nira
• Eli Jules Nitzberg, NCC, M.ED.
• Jasmine Joy Nix, LPC
• Christine Rwamba Njagi
• Nicholas Nocera

• Physical Therapist in Wheat Ridge, CO
• Providers in Wheat Ridge, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.