Active NPI
Tyler Mecham, PT
- Physical Therapist
- Rock Springs, WY
National Provider Identifier
1780008771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1521
- Practice address
- 2241 Foothill Blvd Ste 602
Rock Springs, WY 82901-5698 - Phone
- (307) 382-7888
- Fax
- (307) 382-7444
- NPI assigned
- Feb 11, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1521 | WY | Primary |
Addresses
Primary practice location
2241 Foothill Blvd Ste 602
Rock Springs, WY 82901-5698
Mailing address
2241 Foothill Blvd Ste 602
Rock Springs, WY 82901-5698
Phone (307) 382-7888
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1521 | WY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| High Plains Physical Therapy Limited Partnership | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Rock Springs, WY
- NPI 1336188796
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392076800000",
"number": "1780008771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2241 FOOTHILL BLVD STE 602",
"city": "ROCK SPRINGS",
"state": "WY",
"postal_code": "829015698",
"telephone_number": "307-382-7888",
"fax_number": "307-382-7444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2241 FOOTHILL BLVD STE 602",
"city": "ROCK SPRINGS",
"state": "WY",
"postal_code": "829015698",
"telephone_number": "307-382-7888",
"fax_number": "307-382-7444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MECHAM",
"first_name": "TYLER",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-02-11",
"last_updated": "2014-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WY",
"license": "1521",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rock Springs, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.