TYLER T. WOODWORTH MD
NPI 1861029019
Physical Medicine & Rehabilitation in Phoenix, AZ
NPI Status: Active since March 26, 2020
Contact Information
4530 E MUIRWOOD DR STE 110
PHOENIX, AZ
ZIP 85048
Phone: (480) 763-5808
Fax: (480) 759-0647
- Individual
- Male
- Years of Experience 6
- Physical Medicine & Rehabilitation
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About TYLER WOODWORTH
This page provides the complete NPI Profile along with additional information for Tyler Woodworth, a provider established in Phoenix, Arizona with a medical specialization in Physical Medicine & Rehabilitation and more than 6 years of experience. He graduated from Creighton University School Of Medicine in 2020. The healthcare provider is registered in the NPI registry with number 1861029019 assigned on March 2020. The practitioner's primary taxonomy code is 208100000X with license number 72028 (AZ). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1861029019
- Provider Name
- TYLER T. WOODWORTH MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4530 E MUIRWOOD DR STE 110 PHOENIX, AZ 85048
- Location Phone
- (480) 763-5808
- Location Fax
- (480) 759-0647
- Mailing Address
- 4530 E MUIRWOOD DR STE 110 PHOENIX, AZ 85048
- Mailing Phone
- (480) 763-5808
- Mailing Fax
- (480) 759-0647
- Medical School Name
- CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
- Graduation Year
- 2020
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-26-2020
- Last Update Date
- 07-08-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physical Medicine & Rehabilitation
- Taxonomy Code
- 208100000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 72028
- License State
- AZ
- Taxonomy Description
- Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
---|---|---|---|---|
1 | 208100000X | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | 12409924-1205 (UT) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue AdvanceHealth Bronze - MaricopaFocus Network - HMO
- Blue AdvanceHealth Bronze - Neighborhood Network - HMO
- Blue AdvanceHealth Gold - MaricopaFocus Network - HMO
- Blue AdvanceHealth Gold - Neighborhood Network - HMO
- Blue AdvanceHealth Silver - MaricopaFocus Network - HMO
- Blue AdvanceHealth Silver - Neighborhood Network - HMO
- Blue EverydayHealth Gold - MaricopaFocus Network - HMO
- Blue EverydayHealth Gold - Neighborhood Network - HMO
- Blue EverydayHealth Silver - MaricopaFocus Network - HMO
- Blue EverydayHealth Silver - Neighborhood Network - HMO
- Blue Portfolio HSA Bronze - MaricopaFocus Network - HMO
- Blue Portfolio HSA Bronze - Neighborhood Network - HMO
- Blue Portfolio HSA Gold - Statewide PPO Network - PPO
- Blue PPO PremierHealth Silver - Statewide PPO Network - PPO
- Blue PPO PremierHealth Gold - Statewide PPO Network - PPO
- Blue PPO StandardHealth Gold - Statewide PPO Network - PPO
- Blue PPO StandardHealth Silver - Statewide PPO Network - PPO
- Blue StandardHealth Bronze - MaricopaFocus Network - HMO
- Blue StandardHealth Bronze - Neighborhood Network - HMO
- Blue StandardHealth Gold - MaricopaFocus Network - HMO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
- UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision) - HMO
- UHC Bronze Standard - HMO
- UHC Bronze Value ($0 Virtual Urgent Care) - HMO
- UHC Bronze Value+ ($0 Virtual Urgent Care, Dental + Vision) - HMO
- UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision) - HMO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
- UHC Gold Standard - HMO
- UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
- UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision) - HMO
- UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
- UHC Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision) - HMO
- UHC Silver Standard - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
206392 | MEDICAID (05) | AZ |
Medicare Participation & PECOS Enrollment Status
Tyler Woodworth is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Tyler Woodworth is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 143626168
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20240626004202
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 8 | 6 | 1 | 0 | 2 | 9 | 0 | 1 | 9 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 8 | 12 | 1 | 0 | 2 | 18 | 0 | 2 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 8 + 1 + 2 + 1 + 0 + 2 + 1 + 8 + 0 + 2 + 24 = 51 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 51 = 9 | 9 |
The NPI number 1861029019 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 14 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1619021896 | MARY MARGARET SMITH PT Individual | Physical Therapist | 4530 E MUIRWOOD DR STE 110 PHOENIX, AZ 85048 (480) 759-5808 |
1720551310 | NICOLE KUHARSKE-MILLER DPT Individual | Physical Therapist | 4530 E MUIRWOOD DR STE 110 PHOENIX, AZ 85048 (480) 763-5808 |
1720484413 | GREGORY D LAW PT Individual | Physical Therapist | 4530 E MUIRWOOD DR STE 110 PHOENIX, AZ 85048 (480) 763-5808 |
1972032803 | ANTHONY T KENRICK MD Individual | Physical Medicine & Rehabilitation | 4530 E MUIRWOOD DR STE 110 PHOENIX, AZ 85048 (480) 763-5808 |
1285378836 | KELSEY FRANK DPT Individual | Physical Therapist | 4530 E MUIRWOOD DR STE 110 PHOENIX, AZ 85048 (480) 763-5808 |
1518188812 | PATRICIA G SAUNDERS PAC Individual | Physician Assistant (Medical) | 4530 E MUIRWOOD DR STE 110 PHOENIX, AZ 85048 (480) 763-5808 |
1952520058 | MICHAEL D SWEETEN PAC Individual | Physician Assistant (Medical) | 4530 E MUIRWOOD DR STE 110 PHOENIX, AZ 85048 (480) 763-5808 |
1891168019 | BREE'ANNA WICKEY DPT Individual | Physical Therapist | 4530 E MUIRWOOD DR STE 110 PHOENIX, AZ 85048 (480) 763-5808 |
1982283792 | DR. MELANIE HOOD PT, DPT Individual | Physical Therapist | 4530 E MUIRWOOD DR STE 110 PHOENIX, AZ 85048 (480) 763-5808 |
1689080400 | MRS. DONNA D. SMITH P.T. Individual | Physical Therapist | 4530 E MUIRWOOD DR STE 110 PHOENIX, AZ 85048 (480) 763-5808 |
1225505068 | NEUROSURGICAL ASSOCIATES, LTD Organization | Physical Medicine & Rehabilitation (Sports Medicine) | 4530 E MUIRWOOD DR STE 110 PHOENIX, AZ 85048 (480) 763-5808 |
1316563489 | LOGAN PRICE LEAVITT DO Individual | Physical Medicine & Rehabilitation | 4530 E MUIRWOOD DR STE 110 PHOENIX, AZ 85048 (480) 763-5808 |
1467080622 | IMRAN MOHAMMED QURESHI D.O. Individual | Physical Medicine & Rehabilitation (Pain Medicine) | 4530 E MUIRWOOD DR STE 110 PHOENIX, AZ 85048 (480) 763-5808 |
1780264200 | GARRETT EVAN WAHL MD Individual | Physical Medicine & Rehabilitation | 4530 E MUIRWOOD DR STE 110 PHOENIX, AZ 85048 (480) 763-5808 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1861029019, enumerated in the NPI registry as an "individual" on March 26, 2020
The provider is located at 4530 E Muirwood Dr Ste 110 Phoenix, Az 85048 and the phone number is (480) 763-5808
The provider's speciality is Physical Medicine & Rehabilitation with taxonomy code 208100000X
The provider has more than 6 years of experience. He graduated from Creighton University School Of Medicine in 2020.
The provider might be accepting Accepts: Blue Cross Blue Shield of Arizona,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on March 26, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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