Tyler Seabourn, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1304971 Issued in TX

Practice address

1101 Raintree Cir Ste 150
Allen, TX 75013-4957

Phone

(214) 509-0029

Fax

(214) 509-0070

NPI assigned

Jun 13, 2018

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vista JV Partners LLCGroup PAC ID 3274998224, 126 clinicians

Vista Physical Therapy LLCGroup PAC ID 4284010893, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Vista JV Partners LLC

  • Multi-Specialty Clinic/Center
  • Lake Worth, TX
  • NPI 1326753377

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Vista Physical Therapy LLC

  • Multi-Specialty Clinic/Center
  • Denton, TX
  • NPI 1699410555
  Medicare reassignment Care Compare group
• Vista Rehab Partners LP

  • Physical Therapist
  • Melissa, TX
  • NPI 1770259293
  NPD (past)

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528848000000",
    "number": "1790278745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 ELDORADO PKWY # 102-20",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750706510",
            "telephone_number": "214-509-0029",
            "fax_number": "214-509-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 RAINTREE CIR STE 150",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750134957",
            "telephone_number": "214-509-0029",
            "fax_number": "214-509-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEABOURN",
        "first_name": "TYLER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-13",
        "last_updated": "2018-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1304971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY",
            "identifier": "1304971",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda K Schoon
• Jennifer Schorr, NBC-HWC, FNC, FMCHC
• Judith Schulz, COTA
• Katelyn Schwartz
• Dina Y Scott, PERSONAL TRAINER
• Kathryn Seba, FNP-C
• Troy Sebo, DC
• Evan Secord, D.C.
• Lauren Seif, MSN, APRN-CNP, FNP-C
• Select EMS Inc

• Physical Therapist in Allen, TX
• Providers in Allen, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; 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.