Tyler Edward Uttech

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070.026885 Issued in IL

Practice address

2316 N Clark St
Chicago, IL 60614-7760

Phone

(312) 739-3030

NPI assigned

Oct 3, 2022

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 IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Free Body Physical Therapy Professional CorporationGroup PAC ID 5698050169, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Free Body Physical Therapy Professional Corporation

  • Physical Therapy Clinic/Center
  • Chicago, IL
  • NPI 1407398126

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1760106603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "843 W CORNELIA AVE APT 3S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606571727",
            "telephone_number": "262-914-9461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2316 N CLARK ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606147760",
            "telephone_number": "312-739-3030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "914 Green Bay Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Winnetka",
            "state": "IL",
            "postal_code": "600931701",
            "country_code": "US",
            "telephone_number": "847-447-6040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UTTECH",
        "first_name": "TYLER",
        "middle_name": "EDWARD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.026885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kameron Utria-Ramirez, BSN, RN
• Manuel F Utset
• Tammy O Utset, MD
• Sarah Uttal
• Sahil Uttarwar, MD
• Elizabeth Utter, DPT
• Jennifer Utterback, PHARMD
• Rebecca A Uttermann, D.O
• Chukwueloka Anthony Utti, P.T.A.
• Martin Uwah, M.D.

• Physical Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.