Individual provider Active NPI

Tyler McLean

  • Physical Therapist
  • Washington Township, OH
National Provider Identifier
1700565330
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
7677 Yankee St Ste 210
Washington Township, OH 45459-3475
Phone
(937) 401-6109
NPI assigned
Jul 12, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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 Primary

Addresses

Primary practice location

7677 Yankee St Ste 210
Washington Township, OH 45459-3475

Mailing address

7677 Yankee St Ste 210
Washington Township, OH 45459-3475
Phone (937) 401-7525

Other practice location 1

10560 Success Ln Ste G
Dayton, OH 45458-3697
Phone (937) 701-6035

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240221002234 OH Practitioner - Physical Therapist in Private Practice 4486098167 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Labyrinth Physical Therapy & Wellness Physical Therapist CurrentSince Feb 6, 2024 Accepting new patients

Locations

10560 Success Ln
Ste G
Dayton, OH 45458
Phone (513) 225-5371

Organizations & group practices 1

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": "1689120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1700565330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7677 YANKEE ST STE 210",
            "city": "WASHINGTON TOWNSHIP",
            "state": "OH",
            "postal_code": "454593475",
            "telephone_number": "937-401-7525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7677 YANKEE ST STE 210",
            "city": "WASHINGTON TOWNSHIP",
            "state": "OH",
            "postal_code": "454593475",
            "telephone_number": "937-401-6109"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10560 Success Ln Ste G",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454583697",
            "country_code": "US",
            "telephone_number": "937-701-6035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCLEAN",
        "first_name": "TYLER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-12",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington Township, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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.