Active NPI
Tyler J Morehart, PT
- Physical Therapist
- North Little Rock, AR
National Provider Identifier
1942518709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT3273
- Practice address
- 4801 Fairway Ave
North Little Rock, AR 72116-8009 - Phone
- (501) 758-1300
- Fax
- (501) 758-1316
- NPI assigned
- Sep 15, 2010
- Sex
- Male
- 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 | PT3273 | AR | Primary |
Addresses
Primary practice location
4801 Fairway Ave
North Little Rock, AR 72116-8009
Mailing address
4801 Fairway Ave
North Little Rock, AR 72116-8009
Phone (501) 758-1300
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT3273 | AR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294272000000",
"number": "1942518709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4801 FAIRWAY AVE",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721168009",
"telephone_number": "501-758-1300",
"fax_number": "501-758-1316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 FAIRWAY AVE",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "721168009",
"telephone_number": "501-758-1300",
"fax_number": "501-758-1316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOREHART",
"first_name": "TYLER",
"middle_name": "J",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-09-15",
"last_updated": "2011-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "PT3273",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.