Active NPI
Tyler T Middleton, DPT
- Physical Therapist
- The Colony, TX
National Provider Identifier
1831425156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1223142
- Practice address
- 5997 Sandhill Cir
The Colony, TX 75056 - Phone
- (724) 456-8237
- NPI assigned
- Oct 21, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 | 1223142 | TX | Primary |
Addresses
Primary practice location
5997 Sandhill Cir
The Colony, TX 75056
Mailing address
5997 Sandhill Cir
The Colony, TX 75056-3678
Phone (724) 456-8237
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002129564 | Other | PA | HIGHMARK BLUE SHIELD |
| PT020260 | Other | PA | PA STATE LICENSE |
| 1023854270001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7204 Main St
Suite 200
The Colony, TX 75056-3498
Phone (469) 535-3800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37698 | CA | MD | Endodontist |
| 1223142 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stonebridge Clinics, PLLC | Current | Accepting new patients | |
| Middleton Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Stonebridge Health PLLC | Current | Accepting new patients | |
| Ronald a Carlish Medical Group | Past | Accepting new patients |
Locations
7204 Main St
Ste 200
The Colony, TX 75056
Phone (469) 535-3800
7204 Main St
Ste 300
The Colony, TX 75056
Phone (469) 535-3800
Organizations & group practices 4
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
- The Colony, TX
- NPI 1417437260
-
dba Stonebridge Clinics
- Multi-Specialty Clinic/Center
- The Colony, TX
- NPI 1023684362
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Los Angeles, CA
- NPI 1790094639
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535587200000",
"number": "1831425156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5997 SANDHILL CIR",
"city": "THE COLONY",
"state": "TX",
"postal_code": "750563678",
"telephone_number": "724-456-8237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5997 SANDHILL CIR",
"city": "THE COLONY",
"state": "TX",
"postal_code": "75056",
"telephone_number": "724-456-8237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIDDLETON",
"first_name": "TYLER",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-10-21",
"last_updated": "2018-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1223142",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "002129564",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA STATE LICENSE",
"identifier": "PT020260",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1023854270001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in The Colony, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.