TYLER LEE HEFLIN (PT) – Physical Therapist, NPI 1679177307

TYLER LEE HEFLIN (PT) is a healthcare provider. based in El dorado hills, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. PT298723 (CA). The NPI Number for TYLER LEE HEFLIN (PT) is 1679177307

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
TYLER LEE HEFLIN (PT)
NPI
1679177307
Phone
(916) 905-6378
Address
4990 HILLSDALE CIR STE 100
Enumeration Date
23 November 2020
Last Update Date
13 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6159886852
Graduation Year
2020 (6 years ago)
PAC ID
1153720024
Group Practice PAC ID
1850789066
Professional Enrollment ID
I20241126002911
Address ID
TN372054303NA11XXXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:5State licenses:2Digital endpointsOther names

9,449 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

Provider Addresses for TYLER LEE HEFLIN (PT)

  • 4990 HILLSDALE CIR STE 100

    EL DORADO HILLS, CA 957625770

    Phone: (916) 905-6378

    Type: Mailing

  • 1600 TRIBUTE RD

    SACRAMENTO, CA 958154400

    Phone: (916) 905-6378

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-11-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241126002911IPhysical Therapist In Private PracticeTNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes46621$0
97140Therapy procedure using manual technique, each 15 minutes41620$0
97161Evaluation for physical therapy, typically 20 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 95762)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1850789066View full group profile
NameSpecialtyState
Physical Therapist In Private PracticePA
Physical Therapist In Private PracticeTN
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeTN
Physical Therapist In Private PracticeTN
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeKY

Reviews

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Frequently asked questions

Can I verify TYLER LEE HEFLIN (PT) with an NPI only?
You can start verification with NPI 1679177307 for TYLER LEE HEFLIN (PT), then check state licensing separately.
Is TYLER LEE HEFLIN (PT) listed as active for patients and plans?
The listing shows TYLER LEE HEFLIN (PT) as active in the NPI system.
What is TYLER LEE HEFLIN (PT) best known for clinically?
Directory data describes TYLER LEE HEFLIN (PT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
Does TYLER LEE HEFLIN (PT) list a practice location?
Patients near El Dorado Hills, California may find TYLER LEE HEFLIN (PT) in results; validate coverage separately.
Why does TYLER LEE HEFLIN (PT) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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