Individual provider Active NPI

Tyler T Middleton, DPT

  • Physical Therapist
  • The Colony, TX
National Provider Identifier
1831425156
Registry record updated Aug 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1223142 Issued in TX
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

Updated by the provider on Aug 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
002129564OtherPAHIGHMARK BLUE SHIELD
PT020260OtherPAPA STATE LICENSE
1023854270001MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161011001394 TX Practitioner - Physical Therapist in Private Practice 6406994508 Reassigns benefits to 2 organizations

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
Stonebridge Health, PLLCGroup PAC ID 2668872805, 3 clinicians

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
37698CAMDEndodontist
1223142TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Stonebridge Clinics, PLLC CurrentSince Nov 1, 2021 Accepting new patients
Middleton Physical Therapy LLC Physical Therapist CurrentSince Dec 20, 2018 Accepting new patients
Stonebridge Health PLLC CurrentSince Nov 1, 2021 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.

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.

Verify at the official NPI Registry.