Individual provider Active NPI

Tyler Saude, DPT

  • Physical Therapist
  • Plano, TX
National Provider Identifier
1952071508
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
308 Coit Rd Ste 400
Plano, TX 75075-5726
Phone
(972) 979-6577
Fax
(972) 979-6951
NPI assigned
Sep 15, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X TX Primary

Addresses

Primary practice location

308 Coit Rd Ste 400
Plano, TX 75075-5726

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211

Other practice location 1

2135 Westcliff Dr Unit 203
Newport Beach, CA 92660-5543
Phone (949) 379-8400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240723003329 OR Practitioner - Physical Therapist in Private Practice 7517357940 Reassigns benefits to 1 organization
I20250320001750 TX Practitioner - Physical Therapist in Private Practice 7517357940 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ideal Physical Therapy of Texas LLCGroup PAC ID 0547583809, 359 clinicians
Tice Valley Physical Therapy and Sports Medicine IncGroup PAC ID 3476453697, 3 clinicians

Practice addresses (Care Compare)

17051 Dallas Pkwy
Suite 450
Addison, TX 75001-7118
Phone (214) 272-8561

2540 Camino Diablo
Suite 100
Walnut Creek, CA 94597-3950
Phone 9259350510925935

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ideal Physical Therapy of Texas LLC CurrentSince Mar 17, 2025 Accepting new patients
Ideal Physical Therapy of Texas LLC Physical Therapist CurrentSince Mar 17, 2025 Accepting new patients
New Proactive LLC Physical Therapist CurrentSince Jun 10, 2024 Accepting new patients
Omnis Omnia Inc. Physical Therapy PastSince Feb 4, 2015 Accepting new patients

Locations

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

1630 Beavercreek Rd
Ste A
Oregon City, OR 97045
Phone (503) 607-0047

450 NW Greenwood Ave
Redmond, OR 97756
Phone (541) 923-0410

17051 Dallas Pkwy
Ste 450
Addison, TX 75001
Phone (214) 272-8561

4100 Fairway Dr
Ste 400
Carrollton, TX 75010
Phone (972) 394-3325

106 N Denton Tap Rd
Ste 220
Coppell, TX 75019
Phone (469) 528-6437

2600 W 7th St
Ste 137
Fort Worth, TX 76107
Phone (682) 233-6462

5129 N Garland Ave
Ste 600
Garland, TX 75040
Phone (469) 838-4072

6420 N MacArthur Blvd
Ste 130
Irving, TX 75039
Phone (972) 402-8300

308 Coit Rd
Ste 400
Plano, TX 75075
Phone (469) 573-9606

4709 W Parker Rd
Ste 460
Plano, TX 75093
Phone (469) 440-5420

5400 Brodie Ln
Ste 295
Sunset Valley, TX 78745
Phone (512) 676-3949

Organizations & group practices 5

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": "1631664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1952071508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 COIT RD STE 400",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750755726",
            "telephone_number": "972-979-6577",
            "fax_number": "972-979-6951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2135 Westcliff Dr Unit 203",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926605543",
            "country_code": "US",
            "telephone_number": "949-379-8400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAUDE",
        "first_name": "TYLER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-15",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.