Tyler Rodericks, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

PODI.PO.61529920 Issued in WA

Practice address

1450 5TH St SE Ste 4400
Puyallup, WA 98372-4691

Phone

(253) 848-0131

NPI assigned

Apr 17, 2019

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 FL, WA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Podiatry

Education

Western Un of HLTH Sciences, Col of Podiatric Med, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Alexander Medical Group LLC

  • Orthopaedic Surgery Physician
  • Largo, FL
  • NPI 1265453286
  Medicare reassignment NPD
• Ankle & Foot Specialists of Puget Sound, PS

  • Podiatrist
  • Puyallup, WA
  • NPI 1649561168
  Medicare reassignment
• Rainier Foot and Ankle Associates,PLLC

  • Foot & Ankle Surgery Podiatrist
  • Enumclaw, WA
  • NPI 1780179242
  NPD

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

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1760045447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 5TH ST SE STE 4400",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983724691",
            "telephone_number": "253-848-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 5TH ST SE STE 4400",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983724691",
            "telephone_number": "253-848-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODERICKS",
        "first_name": "TYLER",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-17",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WA",
            "license": "PODI.PO.61529920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Noella Robinson, MD
• Samantha Lynn Robinson, MSW
• Sandra Robinson, LMHC
• Rochelle J Riley Ddsms PLLC
• Sophia Marie Rock, LMT
• Samuel Rodriguez Mora, DPT
• Angel Rodriguez, LMP
• Dania Mercedes Rodriguez
• Gabrielle Kay Rodriguez
• Oscar Ivan Rodriguez

• Foot & Ankle Surgery Podiatrist in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Foot & Ankle Surgery Podiatrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.