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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

TYLER FOUNTAIN
NPI 1093629164
Rehabilitation Practitioner in Las Vegas, NV

Active since September 28, 2026
3065 N RANCHO DR STE 114, LAS VEGAS, NV 89130(702) 628-9968 Get Directions Write a Review

NPPES record added: September 28, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Tyler Fountain NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TYLER FOUNTAIN (NPI 1093629164) is an individual rehabilitation practitioner in Las Vegas, Nevada and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1093629164
Entity TypeIndividualMale
Primary Taxonomy225400000X
Provider Legal NameTYLER FOUNTAIN
Location Address3065 N RANCHO DR STE 114Las Vegas, NV 89130-3355
Mailing Address3065 N Rancho Dr Ste 114Las Vegas, NV 89130-3355
Phone(702) 628-9968
Sole ProprietorNo
Enumeration DateSeptember 28, 2026
NPPES CertifiedSeptember 28, 2026
✔ NPI 1093629164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
3065 N RANCHO DR STE 114, Las Vegas, NV 89130
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Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BROOKE THOMPSON
Rehabilitation Practitioner
3065 N RANCHO DR STE 114
LAS VEGAS, NV 89130
Clark County (702) 628-9968
GIANNA SHOBER
Rehabilitation Practitioner
3065 N RANCHO DR STE 114
LAS VEGAS, NV 89130
Clark County (702) 628-9968
SARAH LING RICE SKILL TRAINER
Rehabilitation Practitioner
3065 N RANCHO DR STE 114
LAS VEGAS, NV 89130
Clark County (702) 290-9397
LAWRENCE RAWLS
Rehabilitation Practitioner
3065 N RANCHO DR STE 114
LAS VEGAS, NV 89130
Clark County (702) 628-9968
SHADELL CLAXTON
Rehabilitation Practitioner
3065 N RANCHO DR STE 114
LAS VEGAS, NV 89130
Clark County (702) 628-9968
ASHLEY FLUELLEN
Rehabilitation Practitioner
3065 N RANCHO DR STE 114
LAS VEGAS, NV 89130
Clark County (702) 628-9968
JAYNA TAU
Rehabilitation Practitioner
3065 N RANCHO DR STE 114
LAS VEGAS, NV 89130
Clark County (702) 628-9968
AGUSTIN AVILA-GARCIA
Rehabilitation Practitioner
3065 N RANCHO DR STE 114
LAS VEGAS, NV 89130
Clark County (702) 628-9968

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tyler Fountain's NPI number?

The NPI number for Tyler Fountain is 1093629164. It was assigned to this individual provider in the NPPES registry on September 28, 2026.

Where is Tyler Fountain located?

Tyler Fountain practices at 3065 N Rancho Dr Ste 114, Las Vegas, NV 89130. The listed phone number is (702) 628-9968.

What is Tyler Fountain's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Tyler Fountain was last updated on September 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.