Active NPI
Tyler Austin Pahl, DPT
- Physical Therapist
- Lincoln, NE
National Provider Identifier
1861234353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4316
- Practice address
- 6800 A St
Lincoln, NE 68510-5134 - Phone
- (402) 483-1010
- NPI assigned
- Jun 6, 2024
- 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 | 4316 | NE | Primary |
Addresses
Primary practice location
6800 A St
Lincoln, NE 68510-5134
Mailing address
8215 Karl Ridge Rd Apt 717
Lincoln, NE 68506-7301
Phone (605) 949-1131
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4316 | NE | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717632000000",
"number": "1861234353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8215 KARL RIDGE RD APT 717",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685067301",
"telephone_number": "605-949-1131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6800 A ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685105134",
"telephone_number": "402-483-1010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAHL",
"first_name": "TYLER",
"middle_name": "AUSTIN",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-06-06",
"last_updated": "2024-06-06",
"certification_date": "2024-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "4316",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.