Tyler Austin Zitka, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

65551 Issued in OR

Practice address

51600 Huntington Rd Ste 103
La Pine, OR 97739-8887

Phone

(541) 536-7443

NPI assigned

Dec 31, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rebound Physical Therapy Limited PartnershipGroup PAC ID 4880990753, 38 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Rebound Physical Therapy Limited Partnership

  • Physical Therapist
  • Bend, OR
  • NPI 1164888764
  Medicare reassignment Care Compare group NPD
• Rebound Physical Therapy Limited Partnership

  • Durable Medical Equipment & Medical Supplies
  • Prineville, OR
  • NPI 1497571525

  Physical Therapist

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1735603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735603200000",
    "number": "1891504254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "954 SW EMKAY DR APT 445",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977020809",
            "telephone_number": "623-271-2907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51600 HUNTINGTON RD STE 103",
            "city": "LA PINE",
            "state": "OR",
            "postal_code": "977398887",
            "telephone_number": "541-536-7443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZITKA",
        "first_name": "TYLER",
        "middle_name": "AUSTIN",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-12-31",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "65551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudine M Walker, LCSW, LICSW
• Meghan Waller
• Spencer James Ward
• Hallie Rebecca Whinnery, RN
• Daniel Patterson Williams, MA, LPC, CADCIII/MAC
• Tiffany Zollman

• Physical Therapist in La Pine, OR
• Providers in La Pine, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2024; 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.