Tyler Sikes, PT
Individual provider Active NPI Physical Therapist · Lamesa, TX
NPI 1861024309 · NPPES record last updated Feb 12, 2020
Key facts
- NPI
- 1861024309
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1328483 (TX)
- Practice address
- 221 N Main Ave
Lamesa, TX 79331-5533 - Phone
- (806) 752-7499
- Fax
- (806) 370-6484
- NPI assigned
- Feb 12, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lamesa Physical Therapy and Sports Rehab, PLLC
Practice addresses (Care Compare)
221 N Main Ave
Lamesa, TX 79331-5533
Phone (806) 200-5030
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200406001487 | TX | Practitioner - Physical Therapist in Private Practice | 6709215155 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lamesa Physical Therapy and Sports Rehab, PLLC | Physical Therapist | Current |
Accepting new patients |
Locations
221 N Main Ave
Lamesa, TX 79331
Phone (806) 200-5030
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1328483 | TX | Yes |
Addresses
Primary practice location
221 N Main Ave
Lamesa, TX 79331-5533
Mailing address
221 N Main Ave
Lamesa, TX 79331-5533
Phone (806) 752-7499
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | lamesaptsr@gmail.com |
Other providers in Lamesa, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 12, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.