TYLER ANDERSON (DPT) – Orthopedic Physical Therapist, NPI 1992144422

TYLER ANDERSON (DPT) is a healthcare provider. based in Bolivar, Missouri. specializing in Orthopedic Physical Therapist. They hold the professional credentials DPT. They hold a License No. 2013017749 (MO). The NPI Number for TYLER ANDERSON (DPT) is 1992144422

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
TYLER ANDERSON (DPT)
NPI
1992144422
Phone
Not provided
Address
1432 E HUGHS
Enumeration Date
18 June 2013
Last Update Date
18 June 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8164071249
Graduation Year
2013 (13 years ago)
PAC ID
8224263058
Group Practice PAC ID
8921171604
Professional Enrollment ID
I20131101000089
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

Provider Addresses for TYLER ANDERSON (DPT)

  • 1432 E HUGHS

    BOLIVAR, MO 656132397

    Phone:

    Type: Mailing

  • 3801 SELSA RD STE 7

    INDEPENDENCE, MO 640571712

    Phone: (816) 795-0434

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 65613)

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Provider's Procedures

TYLER ANDERSON (DPT) performs procedures in Orthopedic Physical Therapist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYMO97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes85554
PHYSICAL THERAPYMO97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes13017

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: 8921171604View full group profile

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Frequently asked questions

What NPI should I save for TYLER ANDERSON (DPT)?
Save NPI 1992144422 if you need a stable reference for TYLER ANDERSON (DPT).
Is TYLER ANDERSON (DPT)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does TYLER ANDERSON (DPT) list a primary specialty?
If you are matching referrals, note Orthopedic Physical Therapist for TYLER ANDERSON (DPT). Clinical services aligned with this taxonomy classification.
Does TYLER ANDERSON (DPT) practice in Missouri?
You will see Bolivar, Missouri on file for TYLER ANDERSON (DPT) alongside any extra practice locations.
What if Bolivar, Missouri seems incomplete?
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