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NPI · 1942714035 · NPPES-sourced

Tyler Douglass Pt

ActivePhysical Therapist
NPI Number
1942714035
Type 1 · Individual
Taxonomy Code
225100000X
Contact
(763) 520-7870
License MN · 10478
Last Updated
About 8 years ago (Nov 2017)
Enumerated 2017-11-28
Primary practice addressMN · 55369-3492
9630 Grove Cir N Ste 200Maple Grove, MN 55369-3492
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About this NPIWhat this record shows.

NPI 1942714035 is registered to Tyler Douglass Pt, a Physical Therapist practising at 9630 Grove Cir N Ste 200 in Maple Grove, Minnesota. Physical Therapist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Tyler Douglass Pt has been enumerated in the National Provider Identifier (NPI) registry since 2017.

Provider type
Individual (Type 1)
Status
Active
Enumerated
2017-11-28
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Tyler Douglass Pt accepts. To confirm in-network status with your specific health plan, contact Tyler Douglass Pt directly at (763) 520-7870.

Frequently asked

Yes. NPI 1942714035 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Physical Therapist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (763) 520-7870.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Tyler Douglass Pt is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy225100000X
Last updated2017-11
Enumerated2017-11-28
StatusActive
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1 record · same addressOther providers at this location.

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Same specialtyOther Physical Therapist providers in Minnesota.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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