Tyson Oris Craven, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

12304121-2401 Issued in UT

Practice address

5991 S 3500 W Ste 300
Roy, UT 84067-6702

Phone

(801) 985-2700

Fax

(801) 985-2707

NPI assigned

Jun 17, 2021

Last updated

Jun 17, 2021By 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

Enrolled in UT

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rock Run Physical Therapy and Rehab Specialists,LLC

  • Physical Therapist
  • Roy, UT
  • NPI 1629012240
  Medicare reassignment NPD
• Prevent Physical Therapy and Performance

  • Physical Therapist
  • West Haven, UT
  • NPI 1699500579
  NPD Authorized official

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1710556451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5991 S 3500 W STE 300",
            "city": "ROY",
            "state": "UT",
            "postal_code": "840676702",
            "telephone_number": "801-985-2700",
            "fax_number": "801-985-2707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5991 S 3500 W STE 300",
            "city": "ROY",
            "state": "UT",
            "postal_code": "840676702",
            "telephone_number": "801-985-2700",
            "fax_number": "801-985-2707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAVEN",
        "first_name": "TYSON",
        "middle_name": "ORIS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-17",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "12304121-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Cook, DDS
• Amber Sherece Cordova
• Jennifer Alexa Cortes Michel, MSWI
• Kerry Lynn Cox, PA-C
• Crafted Calm Therapy P.LLC
• Ashley Kendalle Curfew
• Curtis Easton Cutler
• Kathryn Mary Hughes Da Silva, MSW
• Ivy Dabb
• Davidson Dental

• Physical Therapist in Roy, UT
• Providers in Roy, UT by specialty
• Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; 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.