Individual provider Active NPI

Tyler Lynn Gromann Wilson, PT, DPT

  • Physical Therapist
  • Lake Worth, TX
National Provider Identifier
1912628520
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1407278 Issued in TX
Practice address
6060 Rocky Point TRL
Lake Worth, TX 76135-2447
Phone
(682) 289-9840
NPI assigned
Sep 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2149078 TX
Physical Therapist 225100000X 1407278 TX Primary

Addresses

Primary practice location

6060 Rocky Point TRL
Lake Worth, TX 76135-2447

Mailing address

221 Balcones Dr
Fort Worth, TX 76108-4737
Phone (817) 733-0235

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250929003918 TX Practitioner - Physical Therapist in Private Practice 8426554403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vista JV Partners LLCGroup PAC ID 3274998224, 126 clinicians

Practice addresses (Care Compare)

6060 Rocky Point TRL
Suite 100
Lake Worth, TX 76135-2448
Phone (682) 289-9840

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2149078TXMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Vista JV Partners LLC Physical Therapist CurrentSince Sep 12, 2025 Accepting new patients
Vista Physical Therapy LLC Physical Therapist PastSince Sep 12, 2025 Accepting new patients

Locations

1101 Raintree Cir
Ste 150
Allen, TX 75013
Phone (214) 383-9939

2600 Dallas Pkwy
Ste 290
Frisco, TX 75034
Phone (945) 260-0010

6060 Rocky Point Trl
Ste 100
Lake Worth, TX 76135
Phone (682) 289-9840

475 Elm St
Ste 200
Lewisville, TX 75057
Phone (945) 212-0050

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": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1912628520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 BALCONES DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761084737",
            "telephone_number": "817-733-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6060 ROCKY POINT TRL",
            "city": "LAKE WORTH",
            "state": "TX",
            "postal_code": "761352447",
            "telephone_number": "682-289-9840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "TYLER",
        "middle_name": "LYNN GROMANN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-12",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2149078",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1407278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; 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.