TYSON GREENWOOD (PT) – Physical Therapist, NPI 1780246967

TYSON GREENWOOD (PT) is a healthcare provider. based in Layton, Utah. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 8390600-2401 (UT). The NPI Number for TYSON GREENWOOD (PT) is 1780246967

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
TYSON GREENWOOD (PT)
NPI
1780246967
Phone
Not provided
Address
2111 N HILL FIELD RD UNIT D232
Enumeration Date
8 July 2019
Last Update Date
30 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8013877678
Graduation Year
2019 (7 years ago)
PAC ID
2264911353
Group Practice PAC ID
1850209420
Professional Enrollment ID
I20260209003698
Address ID
UT844032312OG3895XBLVD300

Contacts

Main Contact
https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness95
Years active:6State licenses:1Other names

1,143 PHYSICAL THERAPIST IN PRIVATE PRACTICE in UT

Provider Addresses for TYSON GREENWOOD (PT)

  • 2111 N HILL FIELD RD UNIT D232

    LAYTON, UT 840415192

    Phone:

    Type: Mailing

  • PO BOX 25537

    SALT LAKE CITY, UT 841250537

    Phone:

    Type: Mailing

  • 3895 HARRISON BLVD

    OGDEN, UT 844032312

    Phone: (801) 387-7678

    Type: Location

  • 3476 W 4600 S

    West Haven, UT 844019203

    Phone: (801) 689-0200

    Type: Location

  • 3300 South, Millcreek, Salt Lake County, Utah, 84109, United States

    Salt Lake City, UT 841092635

    Phone: (801) 486-2096

    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: 2026-02-09

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
I20260209003698IPhysical 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.

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

Insurance plans in this area (ZIP 84041)

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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: 1850209420View full group profile

Reviews

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Frequently asked questions

Can I verify TYSON GREENWOOD (PT) with an NPI only?
You can start verification with NPI 1780246967 for TYSON GREENWOOD (PT), then check state licensing separately.
Is TYSON GREENWOOD (PT) still practicing?
TYSON GREENWOOD (PT) is currently listed as active in the public NPI registry.
What is TYSON GREENWOOD (PT)'s specialty?
The listing groups TYSON GREENWOOD (PT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
Where should I expect TYSON GREENWOOD (PT) on a map?
Expect Layton, Utah as a primary anchor for TYSON GREENWOOD (PT) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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