Active NPI
Shelly R Tyler, D.P.T.
- Physical Therapist
- Owensboro, KY
National Provider Identifier
1902118227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 005834
- Practice address
- 412 E 2ND St
Owensboro, KY 42303-4204 - Phone
- (270) 926-8145
- Fax
- (270) 926-8147
- NPI assigned
- Jul 2, 2010
- Last updated
- May 24, 2016
- Sex
- Female
- Sole proprietor
- No
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 | 005834 | KY | Primary |
Addresses
Primary practice location
412 E 2ND St
Owensboro, KY 42303-4204
Mailing address
210 Commerce Way
Ste 120
Portsmouth, NH 03801-8200
Phone (603) 427-8066
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedics & Sports Medicine Owensboro PSC | Physical Therapist | Past | Accepting new patients |
| Competitive Edge Physical Therapy & Sports Training, LLC | Physical Therapist | Past | Accepting new patients |
| Proex Physical Therapy, LLC | Physical Therapist | Past | Accepting new patients |
| Fiddlewood Farmacy | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Advanced Center for Orthopedics & Sports Medicine
- Orthopaedic Surgery Physician
- Owensboro, KY
- NPI 1033210828
Physical Therapist
-
- Physical Therapy Clinic/Center
- Norwell, MA
- NPI 1366502023
Physical Therapist
-
- Physical Therapist
- Woburn, MA
- NPI 1831190453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464048000000",
"number": "1902118227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 COMMERCE WAY",
"address_2": "STE 120",
"city": "PORTSMOUTH",
"state": "NH",
"postal_code": "038018200",
"telephone_number": "603-427-8066",
"fax_number": "603-501-0495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "412 E 2ND ST",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423034204",
"telephone_number": "270-926-8145",
"fax_number": "270-926-8147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYLER",
"first_name": "SHELLY",
"middle_name": "R",
"credential": "D.P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-02",
"last_updated": "2016-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "005834",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Owensboro, KY
- Elizabeth Ashley Turley, D.O.
- Maria M Turner, APRN
- Mary Elizabeth Turner, MS/CCC-SLP
- Fred Thomas Tuttle, M.D.
- Twin Rivers Operating Company LLC (Twin Rivers Nursing and Rehabilitation Center)
- Terry Whitmer Tyler, M.D.
- Kutluay Uluc, M.D.
- Unbridled Community Health and Rehab
- University of Louisville Research Foundation (Neonatal Follow Up Program)
- University Pediatric Endocrinology, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.