Tyler Johnson, PT, DPT in Salem, OR - Medicare Physical Therapist Provider

Tyler Johnson, PT, DPT is a medicare enrolled "Physical Therapist" provider in Salem, Oregon. His current practice location is 1600 State St, Salem, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 540-6300.

Tyler Johnson is licensed to practice in Oregon (license number 65517) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1275170201.

Contact Information

	Tyler Johnson, PT, DPT
	1600 State St, Salem, OR 97301-4257
	(503) 540-6300
	(503) 540-6404

Map and Direction

Healthcare Provider's Profile

Full Name	Tyler Johnson
Gender	Male
Speciality	Physical Therapist
Location	1600 State St, Salem, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275170201
Provider Enumeration Date: 12/10/2019
Last Update Date: 02/17/2025

Medicare PECOS Information:

PECOS PAC ID: 6002235843
Enrollment ID: I20200929001505

Medical Identifiers

Medical identifiers for Tyler Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275170201	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT014269 (Georgia)	Secondary
225100000X	Physical Therapist	14668 (Tennessee)	Secondary
225100000X	Physical Therapist	65517 (Oregon)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tyler Johnson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Tyler Johnson, PT, DPT 28620 N El Mirage Rd Ste B102, Peoria, AZ 85383-2098 Ph: () -	Tyler Johnson, PT, DPT 1600 State St, Salem, OR 97301-4257 Ph: (503) 540-6300

Reviews and Comments

Physical Therapist in Salem, OR

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Tyler Johnson, PT, DPT - Medicare Physical Therapist in Salem, OR