Individual provider Active NPI

Tyler William Obenrader, DPT

  • Physical Therapist
  • Clarion, PA
National Provider Identifier
1720470511
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT023789 Issued in PA
Practice address
22685 Route 68
Clarion, PA 16214-4019
Phone
(814) 223-4090
Fax
(814) 223-4092
NPI assigned
Mar 3, 2015
Last updated
Sep 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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 PT023789 PA Primary

Addresses

Primary practice location

22685 Route 68
Clarion, PA 16214-4019

Mailing address

PO Box 248
Seneca, PA 16346-0248
Phone (814) 670-0534

Other identifiers 1

IdentifierTypeStateIssuer
1030153130002MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tobenrader188640@upmc.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Anderson Physical Therapy Etc PC PastSince Feb 8, 2023 Accepting new patients
Excel Physical Therapy Physical Therapist PastSince Sep 8, 2025 Accepting new patients
Core Network, LLC Physical Therapist Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tyler.w.obenrader@upmcdirect.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1425340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1720470511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 248",
            "city": "SENECA",
            "state": "PA",
            "postal_code": "163460248",
            "telephone_number": "814-670-0534",
            "fax_number": "814-670-0653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22685 ROUTE 68",
            "city": "CLARION",
            "state": "PA",
            "postal_code": "162144019",
            "telephone_number": "814-223-4090",
            "fax_number": "814-223-4092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBENRADER",
        "first_name": "TYLER",
        "middle_name": "WILLIAM",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-03",
        "last_updated": "2026-09-22",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT023789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1030153130002",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tobenrader188640@upmc.direct-ci.com",
            "affiliation": "N",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clarion, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.