Active NPI
Tyler Green
- Physical Therapist
- New Port Richey, FL
National Provider Identifier
1952914491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 35872
- Practice address
- 4903 Fleetwood St
New Port Richey, FL 34653-5154 - Phone
- (650) 200-8049
- NPI assigned
- Aug 25, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Physical Therapist | 225100000X | 35872 | FL | Primary |
Addresses
Primary practice location
4903 Fleetwood St
New Port Richey, FL 34653-5154
Mailing address
4903 Fleetwood St
New Port Richey, FL 34653-5154
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35872 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598400000000",
"number": "1952914491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4903 FLEETWOOD ST",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346535154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4903 FLEETWOOD ST",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346535154",
"telephone_number": "650-200-8049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "TYLER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-08-25",
"last_updated": "2020-08-26",
"certification_date": "2020-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "35872",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Port Richey, FL
- Kathleen Graves, LMHC
- Sabrina Marie Graves
- Great Horned Owl Care Services LLC
- Great Horned Owl Enterprises, LLC (HomeWell Care Services FL309)
- Shawnda Green, LMT
- Miriam Greenbaum, M.A.,OTR/L
- Amy D Greene, M.ED. CCC-SLP
- Aaron Michael Gregor, LMHC
- Sharon Lea Gresham, MS CCC SLP
- Griffin Home Health Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.