| Tyler Green, PT, DPT | |
|
1025 Se Tallgrass Lane Ste 210, Waukee, IA 50263 | |
| (515) 875-9706 | |
| (515) 875-9707 |
| Full Name | Tyler Green |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1025 Se Tallgrass Lane Ste 210, Waukee, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922554658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 2016027260 (Missouri) | Secondary |
| 225100000X | Physical Therapist | 091601 (Iowa) | Primary |
| Provider Name | Advance Physical Therapy Of Hancock County Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1831109826 PECOS PAC ID: 8729056783 Enrollment ID: O20040917001198 |
| Provider Name | Advance Physical Therapy & Sports Medicine Of Adams County Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1104836105 PECOS PAC ID: 7012954571 Enrollment ID: O20050415000323 |
| Provider Name | Advance Physical Therapy & Sports Medicine Of Chatham Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1376706234 PECOS PAC ID: 8426124561 Enrollment ID: O20080915000011 |
| Provider Name | Advance Physical Therapy Illini Community Hospital Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1871831388 PECOS PAC ID: 3476791161 Enrollment ID: O20130610000044 |
| Mailing Address | Practice Location Address |
|---|---|
| Tyler Green, PT, DPT Po Box 424, Des Moines, IA 50302-0424 Ph: (515) 875-9925 | Tyler Green, PT, DPT 1025 Se Tallgrass Lane Ste 210, Waukee, IA 50263 Ph: (515) 875-9706 |
Mrs. Rebecca Smith, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 225 E Hickman Rd, Waukee, IA 50263 Phone: 515-987-6267 | |
Thomas Larsson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 205 Ne Dartmoor Dr, Waukee, IA 50263 Phone: 515-987-6267 | |
Laura Renee Walter, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 452 Se University Ave, Waukee, IA 50263 Phone: 515-987-0465 Fax: 515-987-0929 | |
Dr. Kelsey Marie Ziemann, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 225 E Hickman Rd, Waukee, IA 50263 Phone: 515-987-6267 | |
Kristie A Smith, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 50 E Hickman Rd, Waukee, IA 50263 Phone: 515-216-2999 Fax: 515-216-2990 | |
Kyle Dalen, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 225 E Hickman Rd, Waukee, IA 50263 Phone: 515-987-6267 | |
Laura Imming Hanson, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 452 Se University Ave, Waukee, IA 50263 Phone: 515-987-0465 |