Active NPI
Elizabeth Halstead Tyler, PT, DPT
- Physical Therapist
- Glen Allen, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305214864
- Practice address
- 9980 Brook Rd Unit 16
Glen Allen, VA 23059-6501 - Phone
- (919) 258-2714
- Fax
- (410) 648-4878
- NPI assigned
- Mar 29, 2022
- Last updated
- Jul 5, 2023
- Sex
- Female
- 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 | 2305214864 | VA | Primary |
Addresses
Primary practice location
9980 Brook Rd Unit 16
Glen Allen, VA 23059-6501
Mailing address
3124 Blithewood Drive
Richmond, VA 23225
Phone (757) 814-5636
Other names 1
- Elizabeth Tyler
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC
Enrollment records 2
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
Practice addresses (Care Compare)
9980 Brook Rd Unit
Suite 16
Glen Allen, VA 23059-6501
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tidewater Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Tidewater Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Fox Rehabilitation Services LLC | Physical Therapist | Current | Accepting new patients |
Locations
350 New Fidelity Ct
Garner, NC 27529
Phone (919) 373-2919
7 Carnegie Plz
Cherry Hill, NJ 08003
10128 W Broad St
Bldg Iii
Glen Allen, VA 23060
Phone (804) 217-9210
9980 Brook Rd
Unit 16
Glen Allen, VA 23059
Phone (804) 550-5730
12494 Warwick Blvd
Newport News, VA 23606
Phone (804) 217-9210
20 E Piccadilly St
Ste 1114
Winchester, VA 22601
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Pivot Physical Therapy of Virginia
- Physical Therapist
- Glen Allen, VA
- NPI 1457389595
-
dba Pivot Physical Therapy of Virginia
- Physical Therapist
- Roanoke, VA
- NPI 1437664356
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688515200000",
"number": "1962142083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3124 BLITHEWOOD DRIVE",
"city": "RICHMOND",
"state": "VA",
"postal_code": "23225",
"telephone_number": "757-814-5636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9980 BROOK RD UNIT 16",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230596501",
"telephone_number": "919-258-2714",
"fax_number": "410-648-4878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYLER",
"first_name": "ELIZABETH",
"middle_name": "HALSTEAD",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-29",
"last_updated": "2023-07-05",
"certification_date": "2023-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305214864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "TYLER",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Glen Allen, VA
- Ozlem Tulunoglu, DMD
- Michelle Turnage
- Turner Transportation Inc. (Turner Transportation Services)
- Amira Turner, LCSW
- Jillian Turner
- U.S. Medgroup, P.a. (U.S. MedGroup, P.A.,P.C.)
- Umbrella Services, LLC
- Umbrella Services, LLC
- Caitlin Marie Underwood, MSOT, OTR/L
- United Smiles Glen Allen PC (United Smiles)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; 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.