Tyler Siebert
Physical Therapist in Tinley Park, IL. Individual provider (NPI-1).
NPI number1245979673
StatusActive
Last updated in NPPESSep 2, 2022
Details
- NPI
- 1245979673
- Entity type
- Individual (NPI-1)
- Name
- Tyler Siebert
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 2, 2022
- Certification date
- Sep 2, 2022
- Last updated
- Sep 2, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
Practice location
16750 80th Ave Ste BTinley Park, IL 60477-3174
Phone 708-658-2780
Mailing address
29373 Network PlChicago, IL 60673-1293
Phone 847-390-5900
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 91 Physical Therapist providers in Tinley Park · All 1,674 providers in Tinley Park
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