Individual provider Active NPI

Tyler Goslinga, PT

  • Physical Therapist
  • Ripon, CA
National Provider Identifier
1992247936
Registry record updated Apr 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT292404 Issued in CA
Practice address
1222 W Colony Rd Ste 130
Ripon, CA 95366-9482
Phone
(209) 624-1288
Fax
(209) 624-1289
NPI assigned
Nov 8, 2016
Last updated
Apr 26, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2021

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 PT292404 CA Primary

Addresses

Primary practice location

1222 W Colony Rd Ste 130
Ripon, CA 95366-9482

Mailing address

1518 Coffee Rd Ste 1
Modesto, CA 95355-3164
Phone (209) 576-0888

Other practice location 1

1716 W Hammer Ln
Stockton, CA 95209-2922
Phone (209) 473-2383

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161220001250 CA Practitioner - Physical Therapist in Private Practice 6608157268 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Golden Bear Physical Therapy Sports Injury Center IncGroup PAC ID 2961423082, 85 clinicians

Practice addresses (Care Compare)

1222 W Colony Rd
Suite 130
Ripon, CA 95366-9482
Phone (209) 624-1288

Merit-based Incentive Payment System (MIPS)

Final score
67.73 of 100Reported as group
Quality
41.21
Improvement activities
40
Cost
83.55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT292404CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tokheim Corbett Physical Therapy Physical Therapist CurrentSince Jan 1, 2018 Accepting new patients
Golden Bear Physical Therapy Sports Injury Center, Inc Physical Therapist CurrentSince Mar 1, 2021 Accepting new patients
Gold Country Therapies, Inc PastSince Jan 1, 2015 Accepting new patients
Central Valley Physical Therapy Physical Therapist PastSince Nov 7, 2016 Accepting new patients

Locations

1191 E Yosemite Ave
Ste A
Manteca, CA 95336
Phone (209) 824-9469

1335 Coffee Rd
Ste 200
Modesto, CA 95355
Phone (209) 576-1946

220 Standiford Ave
Ste F
Modesto, CA 95350
Phone (209) 589-1500

1222 W Colony Rd
Ste 130
Ripon, CA 95366
Phone (209) 624-1288

1906 Vista del Lago Dr
Ste A
Valley Springs, CA 95252
Phone (209) 772-0848

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1478563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619395200000",
    "number": "1992247936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1518 COFFEE RD STE 1",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953553164",
            "telephone_number": "209-576-0888",
            "fax_number": "209-624-1289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 W COLONY RD STE 130",
            "city": "RIPON",
            "state": "CA",
            "postal_code": "953669482",
            "telephone_number": "209-624-1288",
            "fax_number": "209-624-1289"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1716 W Hammer Ln",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952092922",
            "country_code": "US",
            "telephone_number": "209-473-2383",
            "fax_number": "209-473-1350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOSLINGA",
        "first_name": "TYLER",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-08",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT292404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ripon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; 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.