Tyler C Whiteside, DPT in Wilmington, NC - Medicare Physical Therapist In Private Practice Provider

Tyler C Whiteside, DPT is a medicare enrolled "Physical Therapist" provider in Wilmington, North Carolina. He graduated from medical school in 2002 and has 24 years of diverse experience with area of expertise as Physical Therapist In Private Practice. He is a member of the group practice Momentum Pt And Wellness Ltd and his current practice location is 2467 S 17th St Unit A, Wilmington, North Carolina. You can reach out to his office (for appointments etc.) via phone at (703) 980-5570.

Tyler C Whiteside is licensed to practice in North Carolina (license number P11905) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1619001120.

Contact Information

	Tyler C Whiteside, DPT
	2467 S 17th St Unit A, Wilmington, NC 28401-7903
	(703) 980-5570
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tyler C Whiteside
Gender	Male
Speciality	Physical Therapist In Private Practice
Experience	24 Years
Location	2467 S 17th St Unit A, Wilmington, North Carolina
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Tyler C Whiteside graduated from medical school in 2002

NPI Data:

NPI Number: 1619001120
Provider Enumeration Date: 03/15/2007
Last Update Date: 12/12/2025

Medicare PECOS Information:

PECOS PAC ID: 1658335583
Enrollment ID: I20091009000285

Medical Identifiers

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

Identifier	Type	State	Issuer
1619001120	NPI	-	NPPES
K091	Other	VA	BLUECROSS BLUESHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	P11905 (North Carolina)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Momentum Pt And Wellness Ltd	1456588458	2

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Tyler C Whiteside allows following entities to bill medicare on his behalf.

Provider Name	Momentum Pt & Wellness Ltd
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1265868814 PECOS PAC ID: 1456588458 Enrollment ID: O20131219001076

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 C Whiteside 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 C Whiteside, DPT 2023 Woodwind Dr, Leland, NC 28451-4146 Ph: (703) 980-5570	Tyler C Whiteside, DPT 2467 S 17th St Unit A, Wilmington, NC 28401-7903 Ph: (703) 980-5570

Reviews and Comments

Physical Therapist in Wilmington, NC

Mrs. Sally J. Foster, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5710 Oleander Dr, Suite 210, Wilmington, NC 28403 Phone: 910-398-6301 Fax: 910-398-6305
Jmf Wellness Llc Pure Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4002 1/2 Oleander Dr Ste 102, Wilmington, NC 28403 Phone: 330-518-7219
Healthy Seniors Physical Therapist Medicare: Medicare Enrolled Practice Location: 4829 Carolina Beach Rd Ste 100, Wilmington, NC 28412 Phone: 910-444-0020
Benjamin Allan Muschlitz, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5619 Carolina Beach Rd Ste 120, Wilmington, NC 28412 Phone: 910-790-1976
Zachary David Wiskow, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6019 Oleander Dr Ste 200, Wilmington, NC 28403 Phone: 919-790-9714 Fax: 910-791-1063
Arielle Skyler Juneau, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2250 Shipyard Blvd Ste 14, Wilmington, NC 28403 Phone: 910-518-9951
Brad Winslow Nolan, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3787 Shipyard Blvd, Wilmington, NC 28403 Phone: 910-332-3800 Fax: 910-251-0421

Tyler C Whiteside, DPT - Medicare Physical Therapist in Wilmington, NC