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 GREEN PT,DPT

MEDICARE: TYLER GREEN 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
1225100000XPhysical Therapist3447AR

General Provider Information

NPI Number : 1962640805
Entity Type Code : Individual
Provider Name (Legal Business Name) : TYLER GREEN PT,DPT
Provider Business Mailing Address
First Line : 2668 E CITIZENS DR STE 5
Second Line :
City : FAYETTEVILLE
State : AR
Zip : 72703-4796
Country : US
Telephone Number : 479-442-7473
Fax Number : 479-239-5444
Provider Business Practice Location Address
First Line : 2668 E CITIZENS DR
Second Line : SUITE 5
City : FAYETTEVILLE
State : AR
Zip : 72703-4796
Country : US
Telephone Number : 479-442-7473
Fax Number : 479-239-5444
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2009
Last Update Date : 07/07/2025

Similar Medicare Providers

1194656777 — HIEN XUAN MAI PT, DPT
Practice Location Address:
2668 E CITIZENS DR STE 5
FAYETTEVILLE, AR
72703-4796
Practice Phone: 479-595-0711
Practice Fax:
1508626649 — JESSA BARENDSE DPT
Practice Location Address:
2668 E CITIZENS DR STE 5
FAYETTEVILLE, AR
72703-4796
Practice Phone: 479-442-7473
Practice Fax: 479-239-5444
1114247418 — KEYNA CARPENTER PT
Practice Location Address:
2668 E CITIZENS DR STE 5
FAYETTEVILLE, AR
72703-4796
Practice Phone: 479-442-7473
Practice Fax: 479-239-5444
1396116596 — DEREK LEE DPT
Practice Location Address:
2668 E CITIZENS DR STE 5
FAYETTEVILLE, AR
72703-4796
Practice Phone: 479-442-7473
Practice Fax: 479-239-5444
1083131064 — ALYSSA RACHEL DIMITROV DPT
Practice Location Address:
2668 E CITIZENS DR STE 5
FAYETTEVILLE, AR
72703-4796
Practice Phone: 479-442-7473
Practice Fax: 479-239-5444
1225542749 — DR. SEAN PELZER PT, DPT
Practice Location Address:
2668 E CITIZENS DR STE 5
FAYETTEVILLE, AR
72703-4796
Practice Phone: 512-470-2725
Practice Fax:

Directions to “ TYLER GREEN PT,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 © 2007-2026 (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.