Active NPI
Tyler Bass, DPT
- Orthopedic Physical Therapist
- Little Rock, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 4481
- Practice address
- 10014 N Rodney Parham Rd Ste 103
Little Rock, AR 72227-5598 - Phone
- (501) 224-5454
- Fax
- (501) 224-5460
- NPI assigned
- Sep 12, 2018
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 4481 | AR | Primary |
Addresses
Primary practice location
10014 N Rodney Parham Rd Ste 103
Little Rock, AR 72227-5598
Mailing address
10014 N Rodney Parham Rd Ste 103
Little Rock, AR 72227-5598
Phone (501) 224-5454
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10014 N Rodney Parham Rd
Suite 103
Little Rock, AR 72227-5587
Phone (501) 224-5454
2504 McCain Blvd
Suite 230
North Little Rock, AR 72116-7607
Phone (501) 758-5555
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4481 | AR | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aptc of North Little Rock, Inc | Orthopedic | Current | Accepting new patients |
| Aptc of Little Rock, Inc. | Orthopedic | Current | Accepting new patients |
Locations
10014 N Rodney Parham Rd
Ste 103
Little Rock, AR 72227
Phone (501) 224-1303
Organizations & group practices 2
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": "1536710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536710400000",
"number": "1992288351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10014 N RODNEY PARHAM RD STE 103",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722275598",
"telephone_number": "501-224-5454",
"fax_number": "501-224-5460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10014 N RODNEY PARHAM RD STE 103",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722275598",
"telephone_number": "501-224-5454",
"fax_number": "501-224-5460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASS",
"first_name": "TYLER",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-12",
"last_updated": "2018-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "AR",
"license": "4481",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; 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.