MEDICARE: TYLER J BROWN PT, 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
1	225100000X	Physical Therapist	6321	NV
2	2251P0200X	Pediatric Physical Therapist	6321	NV

General Provider Information

NPI Number	:	1932977329
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TYLER J BROWN PT, DPT

Provider Business Mailing Address
First Line	:	3884 RANCHO NIGUEL PKWY
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89147-8015
Country	:	US
Telephone Number	:	702-715-8537
Fax Number	:

Provider Business Practice Location Address
First Line	:	1306 E CALVADA BLVD
Second Line	:
City	:	PAHRUMP
State	:	NV
Zip	:	89048-2797
Country	:	US
Telephone Number	:	877-757-8353
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/14/2023
Last Update Date	:	01/08/2026

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