TYLER LANDGREN – Orthopedic Physical Therapist, NPI 1558712455

TYLER LANDGREN is a healthcare provider. based in Ogden, Utah. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 9801160-2401 (UT). The NPI Number for TYLER LANDGREN is 1558712455

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
TYLER LANDGREN
NPI
1558712455
Phone
(801) 479-9865
Address
5349 ADAMS AVE PKWY STE A
Enumeration Date
22 June 2016
Last Update Date
22 June 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8017847373
Graduation Year
2016 (10 years ago)
PAC ID
3274826276
Group Practice PAC ID
3476524760
Professional Enrollment ID
I20160728001778
Address ID
UT840415864LA1916X700X301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

1,143 PHYSICAL THERAPIST IN PRIVATE PRACTICE in UT

Provider Addresses for TYLER LANDGREN

  • 5349 ADAMS AVE PKWY STE A

    OGDEN, UT 844054736

    Phone: (801) 479-9865

    Fax: (801) 479-5846

    Mailing address matches the actual address.

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: 2016-07-28

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
I20160728001778IPhysical Therapist In Private PracticeUTTBD

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
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes1,03479$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes97676$0
97140Therapy procedure using manual technique, each 15 minutes90675$0
97530Therapy procedure using functional activities40339$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care31845$0
View full utilization report →

Insurance plans in this area (ZIP 84405)

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Provider's Procedures

TYLER LANDGREN performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYUT97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes20125
PHYSICAL THERAPYUT97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes8820

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: 3476524760View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeUT
Physical Therapist In Private PracticeUT
-UT
Physical Therapist In Private PracticeUT
Physical Therapist In Private PracticeUT
Physical Therapist In Private PracticeUT
-OH
Physical Therapist In Private PracticeCO
Physical Therapist In Private PracticeNM
-UT

Reviews

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Frequently asked questions

What identifier follows TYLER LANDGREN across health systems?
The NPI 1558712455 uniquely identifies TYLER LANDGREN in U.S. healthcare data.
Quick check: is TYLER LANDGREN active?
Public NPPES data shows TYLER LANDGREN with an active NPI status right now.
What does the directory say TYLER LANDGREN does?
Insurance directories may phrase it differently, but here TYLER LANDGREN maps to Orthopedic Physical Therapist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to TYLER LANDGREN?
TYLER LANDGREN is associated with Ogden, Utah in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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