Johnnie Ray Tyler III, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2057090 Issued in TX

Practice address

3100 Schofield Rd
Fort Sam Houston, TX 78234-7577

Phone

(210) 808-2226

NPI assigned

Aug 16, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1723766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1912739152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3946 BULVERDE PKWY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782592257",
            "telephone_number": "210-313-0422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 SCHOFIELD RD",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782347577",
            "telephone_number": "210-808-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYLER",
        "first_name": "JOHNNIE",
        "middle_name": "RAY",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-16",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2057090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Turner, M.A., PSY.D.
• Kathryn Ann Turner, LCSW
• Stephen Lee Turner, OTR/L
• Matthew Jonathan Tutterow, LCSW
• James Anthony Twitchell, OD
• Katherine M Tyrell, LMSW
• Elizabeth Uecker, PA-C
• Claus Johan Ullstad, DDS, MS, MMS
• Jon Alan Umlauf, DPT
• Mary Agnes Uttermohlen, MSN, FNP-BC, RN-C

• Physical Therapy Assistant in Fort Sam Houston, TX
• Providers in Fort Sam Houston, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.

Verify at the official NPI Registry.