Individual provider Active NPI

Tyler James Esser, PT, DPT

  • Physical Therapist
  • Beloit, WI
National Provider Identifier
1831697291
Registry record updated Nov 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
13798 Issued in WI
Practice address
1969 West Hart Rd
Beloit, WI 53511-2283
Phone
(608) 364-5689
Fax
(608) 364-5452
NPI assigned
Jan 30, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070025786 IL
Physical Therapist 225100000X 5501018520 MI
Physical Therapist 225100000X 13798 WI Primary

Addresses

Primary practice location

1969 West Hart Rd
Beloit, WI 53511-2283

Mailing address

1969 West Hart Rd
Beloit, WI 53511-2283
Phone (843) 610-8099

Other practice location 1

903 Main Ave
Crivitz, WI 54114-1619
Phone (715) 854-2717

Other practice location 2

501 2nd St
Menominee, MI 49858-3203
Phone (906) 863-9941

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210929003014 WI Practitioner - Physical Therapist in Private Practice 3971900275 Reassigns benefits to 1 organization
I20211116000267 IL Practitioner - Physical Therapist in Private Practice 3971900275 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070025786ILMDPhysical Therapist
5501018520MIMDPhysical Therapist
13798WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Beloit Health System, Inc CurrentSince Aug 30, 2021 Accepting new patients
Beloit Health System Inc CurrentSince Aug 30, 2021 Accepting new patients
Beloit Health System Inc CurrentSince Aug 30, 2021 Accepting new patients
Beloit Clinic, S.C. Current Accepting new patients

Locations

5605 E Rockton Rd
Roscoe, IL 61073
Phone (815) 525-4000

1905 E Huebbe Pkwy
Beloit, WI 53511
Phone (608) 364-2293

1969 W Hart Rd
Beloit, WI 53511
Phone (608) 364-5011

1735 Madison Rd
Beloit, WI 53511
Phone (608) 363-7510

1650 Lee Ln
Beloit, WI 53511
Phone (608) 364-4666

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": "1517270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1831697291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1969 WEST HART RD",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535112283",
            "telephone_number": "843-610-8099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1969 WEST HART RD",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535112283",
            "telephone_number": "608-364-5689",
            "fax_number": "608-364-5452"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "903 Main Ave",
            "address_purpose": "LOCATION",
            "city": "Crivitz",
            "state": "WI",
            "postal_code": "541141619",
            "country_code": "US",
            "telephone_number": "715-854-2717",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 2nd St",
            "address_purpose": "LOCATION",
            "city": "Menominee",
            "state": "MI",
            "postal_code": "498583203",
            "country_code": "US",
            "telephone_number": "906-863-9941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESSER",
        "first_name": "TYLER",
        "middle_name": "JAMES",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-30",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070025786",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501018520",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "13798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beloit, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.