DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: TYLER C WHITESIDE DPT

MEDICARE: TYLER C WHITESIDE DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistP11905NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1K091OTHERVABLUECROSS BLUESHIELD

General Provider Information

NPI Number : 1619001120
Entity Type Code : Individual
Provider Name (Legal Business Name) : TYLER C WHITESIDE DPT
Provider Business Mailing Address
First Line : 2023 WOODWIND DR
Second Line :
City : LELAND
State : NC
Zip : 28451-4146
Country : US
Telephone Number : 703-980-5570
Fax Number :
Provider Business Practice Location Address
First Line : 2467 S 17TH ST UNIT A
Second Line :
City : WILMINGTON
State : NC
Zip : 28401-7903
Country : US
Telephone Number : 703-980-5570
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2007
Last Update Date : 12/12/2025

Similar Medicare Providers

1689719007 — BEHAVIORAL HEALTHCARE SERVICES, INC.
Practice Location Address:
2425 S 17TH ST
WILMINGTON, NC
28401-7903
Practice Phone: 910-313-3232
Practice Fax:
1497890818 — BEHAVIORAL HEALTHCARE SERVICES, INC.
Practice Location Address:
2425 S 17TH ST
WILMINGTON, NC
28401-7903
Practice Phone: 910-313-3232
Practice Fax:
1144365768 — BEHAVIORAL HEALTHCARE SERVICES, INC.
Practice Location Address:
2425 S 17TH ST
WILMINGTON, NC
28401-7903
Practice Phone: 910-313-3232
Practice Fax:
1275668642 — MRS. DEBRA JANE CARBONE LPC RN
Practice Location Address:
2425 S 17TH ST
WILMINGTON, NC
28401-7903
Practice Phone: 910-313-3232
Practice Fax: 910-313-6598
1982849303 — MRS. SARAH LESLEY POWELL LPC
Practice Location Address:
2425 S 17TH ST
WILMINGTON, NC
28401-7903
Practice Phone: 910-313-2213
Practice Fax: 910-313-6598
1558653287 — JOSEPH ELLIOTT MARROTTA BS PHARMACY
Practice Location Address:
2425 S 17TH ST STE C
WILMINGTON, NC
28401-7903
Practice Phone: 910-270-9581
Practice Fax:

Directions to “ TYLER C WHITESIDE DPT” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.