Individual provider Active NPI

Tyler Lund, PT, DPT, CWS

  • Physical Therapist
  • Las Vegas, NV
National Provider Identifier
1760168769
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3576 Issued in NV
Practice address
7921 Midnight Ride St
Las Vegas, NV 89131-1966
Phone
(801) 505-3886
NPI assigned
Jun 23, 2023
Last updated
Jun 23, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 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 3576 NV Primary

Addresses

Primary practice location

7921 Midnight Ride St
Las Vegas, NV 89131-1966

Mailing address

7921 Midnight Ride St
Las Vegas, NV 89131-1966
Phone (801) 505-3886

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231103003181 NV Practitioner - Physical Therapist in Private Practice 2466809033 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Touro Un Col of Osteopathic Medicine, Henderson, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empowered Care Physical Therapy and Wound Care PLLCGroup PAC ID 1557718129, 2 clinicians

Practice addresses (Care Compare)

7921 Midnight Ride St
Las Vegas, NV 89131-1966
Phone (801) 505-3886

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3576NVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Empowered Care Physical Therapy and Wound Care PLLC Physical Therapist CurrentSince Aug 19, 2023 Accepting new patients
Pankaj K Bhatnagar MD PC CurrentSince Feb 1, 2024 Accepting new patients
Gary Skankey, MD, PC CurrentSince Mar 31, 2024 Accepting new patients

Locations

1050 W Galleria Dr
Henderson, NV 89011
Phone (702) 723-4124

2500 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 341-1436

5400 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 252-7342

6166 N Durango Dr
Las Vegas, NV 89149
Phone (702) 202-4534

620 Shadow Ln
Las Vegas, NV 89106
Phone (702) 388-4506

6240 N Durango Dr
Ste 120
Las Vegas, NV 89149
Phone (702) 202-3431

657 N Town Center Dr
Las Vegas, NV 89144
Phone (702) 233-7571

6900 N Durango Dr
Las Vegas, NV 89149
Phone (702) 380-1964

7200 Cathedral Rock Dr
Ste 200
Las Vegas, NV 89128
Phone (702) 629-3562

8565 W Rome Blvd
Las Vegas, NV 89149
Phone (702) 982-8555

Organizations & group practices 5

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": "1687478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1760168769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7921 MIDNIGHT RIDE ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891311966",
            "telephone_number": "801-505-3886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7921 MIDNIGHT RIDE ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891311966",
            "telephone_number": "801-505-3886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUND",
        "first_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, CWS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-23",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "3576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; 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.