| Dr Tyler James Lotz, DPT | |
|
4340 Ladson Rd Ste B, Ladson, SC 29456-6444 | |
| (433) 765-0568 | |
| (843) 376-2730 |
| Full Name | Dr Tyler James Lotz |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 4340 Ladson Rd Ste B, Ladson, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679039028 | NPI | - | NPPES |
| TH4327 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 27355 (Maryland) | Secondary |
| 225100000X | Physical Therapist | 10386 (South Carolina) | Primary |
| Provider Name | Glen Burnie Physical Therapy & Sportscare Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1679630073 PECOS PAC ID: 0042102592 Enrollment ID: O20040329000584 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tyler James Lotz, DPT Po Box 530062, Atlanta, GA 30353-0062 Ph: (843) 695-6071 | Dr Tyler James Lotz, DPT 4340 Ladson Rd Ste B, Ladson, SC 29456-6444 Ph: (433) 765-0568 |
Kia Denae Monts, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3851 Commercial Center Dr, Ladson, SC 29456 Phone: 843-314-5434 | |
Jessica Kelly, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3851 Commercial Center Dr, Ladson, SC 29456 Phone: 843-314-5434 Fax: 888-510-9156 | |
Chelsea Wright, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9565 Highway 78 Ste 105, Ladson, SC 29456 Phone: 888-510-6369 Fax: 888-510-5362 | |
Caroline Moseley, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3851 Commercial Center Dr, Ladson, SC 29456 Phone: 843-314-5434 | |
Rachel Lange, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3851 Commercial Center Dr, Ladson, SC 29456 Phone: 843-314-5434 Fax: 888-510-9156 | |
Maegan Reed, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9565 Highway 78 Bldg 700, Ladson, SC 29456 Phone: 843-569-4546 | |
Marissa Slate, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9565 Highway 78 Ste 102, Ladson, SC 29456 Phone: 843-314-5434 Fax: 888-510-9156 |