Tyler Graham, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-2166 Issued in WY

Practice address

2002 W Sunset Dr Ste 1
Riverton, WY 82501-2285

Phone

(307) 856-7021

Fax

(307) 856-5546

NPI assigned

Jun 14, 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 WY

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

Carbon County Therapy LLCGroup PAC ID 5496174781, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Carbon County Therapy LLC

  • Physical Therapy Clinic/Center
  • Rawlins, WY
  • NPI 1457961252

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Fremont Therapy Group Limited Partnership

  • Physical Therapist
  • Riverton, WY
  • NPI 1487244042
  Medicare reassignment NPD
• Fremont Therapy Group Limited Partnership

  • Durable Medical Equipment & Medical Supplies
  • Green River, WY
  • NPI 1649165317
  NPD

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1821728775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 W SUNSET DR STE 1",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825012285",
            "telephone_number": "307-856-7021",
            "fax_number": "307-856-5546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 W SUNSET DR STE 1",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825012285",
            "telephone_number": "307-856-7021",
            "fax_number": "307-856-5546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "TYLER",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-14",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WY",
            "license": "PT-2166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whittney K Gomendi-Smith, DPT
• Roger L Gose, MD
• Graham Family Dental
• Joshua Leon Graham, PHARMD
• McKenzie Ann Graham, PHARMD, RPH
• Tyler A. Graham, DDS
• Grand Valley in-Home 24 HR Nursing LLC (Grand Valley Nursing LLC)
• Jodi Grant
• Jeffrey R Gray, DC
• Chelcy Green

• Physical Therapist in Riverton, WY
• Providers in Riverton, WY by specialty
• Physical Therapist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.