Individual provider Active NPI

Tyler Nance, DPT, PT, ATC

  • Physical Therapist
  • Wichita, KS
National Provider Identifier
1881077519
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-06270 Issued in KS
Practice address
10100 E Shannon Woods Cir Ste 2
Wichita, KS 67226-4105
Phone
(316) 681-0824
NPI assigned
Jun 30, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X
Physical Therapist 225100000X 11-06270 KS Primary

Addresses

Primary practice location

10100 E Shannon Woods Cir Ste 2
Wichita, KS 67226-4105

Mailing address

10100 E Shannon Woods Cir Ste 2
Wichita, KS 67226-4105
Phone (316) 681-0824

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
11-06270KSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
316 Physical Therapy, LLC CurrentSince Feb 4, 2024 Accepting new patients
Via Christi Rehabilitation Hospital, Inc Physical Therapist Past Accepting new patients

Organizations & group practices 2

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": "1435622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1881077519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10100 E SHANNON WOODS CIR STE 2",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672264105",
            "telephone_number": "316-681-0824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10100 E SHANNON WOODS CIR STE 2",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672264105",
            "telephone_number": "316-681-0824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANCE",
        "first_name": "TYLER",
        "credential": "DPT, PT, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-30",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-06270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.