Active NPI
Tyler Douglas Comer, PT
- Physical Therapist
- Phoenix, AZ
National Provider Identifier
1780767178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4369
- Practice address
- 717 W. Dunlap Avenue
Suite 100
Phoenix, AZ 85021 - Phone
- (602) 944-2146
- Fax
- (602) 944-2176
- NPI assigned
- Oct 23, 2006
- 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 | 4369 | AZ | Primary |
Addresses
Primary practice location
717 W. Dunlap Avenue
Suite 100
Phoenix, AZ 85021
Mailing address
1342 E Orchid LN
Phoenix, AZ 85020-3242
Phone (602) 300-7886
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 |
|---|---|---|---|
| 4369 | AZ | MD | Contractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SLK Inc | 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.
-
- Specialist
- Peoria, AZ
- NPI 1245266451
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429056000000",
"number": "1780767178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1342 E ORCHID LN",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850203242",
"telephone_number": "602-300-7886",
"fax_number": "602-944-2176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "717 W. DUNLAP AVENUE",
"address_2": "SUITE 100",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85021",
"telephone_number": "602-944-2146",
"fax_number": "602-944-2176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COMER",
"first_name": "TYLER",
"middle_name": "DOUGLAS",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-23",
"last_updated": "2015-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "4369",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.