TYLER JAMES GARDNER (DPT) – Physical Therapist, NPI 1316596273

TYLER JAMES GARDNER (DPT) is a healthcare provider. based in Stanwood, Washington. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PT60992300 (WA). The NPI Number for TYLER JAMES GARDNER (DPT) is 1316596273

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
TYLER JAMES GARDNER (DPT)
NPI
1316596273
Phone
(360) 629-7528
Address
27500 102ND AVE NW STE 1
Enumeration Date
4 September 2019
Last Update Date
4 September 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3606299768
Graduation Year
2019 (7 years ago)
PAC ID
5799016325
Group Practice PAC ID
5698850295
Professional Enrollment ID
I20191014001537
Address ID
WA982928092ST27500NWXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:6State licenses:1Digital endpointsOther names

3,527 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WA

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Provider Addresses for TYLER JAMES GARDNER (DPT)

  • 102nd Avenue Northwest, Stanwood, Snohomish County, Washington, United States

    STANWOOD, WA 982928092

    Phone: (360) 629-7528

    Fax: (360) 629-7632

    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: 2019-10-14

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
I20191014001537IPhysical Therapist In Private PracticeWATBD

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 minutes1,868225$0
97530Therapy procedure using functional activities1,325196$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes940206$0
97140Therapy procedure using manual technique, each 15 minutes7728$0
97116Therapy procedure for walking training, each 15 minutes6015$0
View full utilization report →

Insurance plans in this area (ZIP 98292)

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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: 5698850295View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
-WA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA

Reviews

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Frequently asked questions

What unique ID ties claims to TYLER JAMES GARDNER (DPT)?
NPI 1316596273 is assigned to TYLER JAMES GARDNER (DPT) under the national enumeration system.
Is TYLER JAMES GARDNER (DPT)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does TYLER JAMES GARDNER (DPT) list a primary specialty?
If you are matching referrals, note Physical Therapist for TYLER JAMES GARDNER (DPT). Clinical services aligned with this taxonomy classification.
What location metadata exists for TYLER JAMES GARDNER (DPT)?
The page summarizes Stanwood, Washington for TYLER JAMES GARDNER (DPT); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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