Individual provider Active NPI

Tyler Reimers

  • Speech-Language Pathologist
  • Morris, MN
National Provider Identifier
1821832379
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
528888 Issued in MN
Practice address
1100 Court Dr
Morris, MN 56267-4722
Phone
(320) 585-5395
NPI assigned
Jun 20, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 528888 MN Primary

Addresses

Primary practice location

1100 Court Dr
Morris, MN 56267-4722

Mailing address

1100 Court Dr
Morris, MN 56267-4722

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260313000292 MN Practitioner - Qualified Speech Language Pathologist 3971086315 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Big Stone Therapies, IncGroup PAC ID 1254655434, 16 clinicians

Practice addresses (Care Compare)

717 Atlantic Ave
Morris, MN 56267-1137
Phone (605) 541-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
528888MNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Big Stone Therapies, Inc Speech-Language Pathologist CurrentSince Feb 9, 2026 Accepting new patients

Locations

717 Atlantic Ave
Morris, MN 56267
Phone (320) 585-7246

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.

NPI Registry JSON

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

{
    "created_epoch": "1718841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1821832379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 COURT DR",
            "city": "MORRIS",
            "state": "MN",
            "postal_code": "562674722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 COURT DR",
            "city": "MORRIS",
            "state": "MN",
            "postal_code": "562674722",
            "telephone_number": "320-585-5395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIMERS",
        "first_name": "TYLER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-20",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "528888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morris, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.