DR. TYLER J BLACKWELDER DPT
NPI 1346421021
Physical Therapist in Hayden, ID

Active since November 21, 2007Accepts Medicare Assignment
827 W PRAIRIE AVE, HAYDEN, ID 83835(208) 819-8486(208) 561-7242 Get Directions Write a Review

NPPES record last updated: May 13, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 13, 2024, Nov 3, 2020, Sep 21, 2020 and 1 more (4 updates tracked since 2018).

About Dr. Tyler J Blackwelder Dpt NPPES

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

DR. TYLER J BLACKWELDER DPT (NPI 1346421021) is an individual physical therapist in Hayden, Idaho, licensed in Idaho (PT-2507) and active in the NPI registry since November 2007. He is a graduate of Other (2007).

NPPES Registry Identity

NPI1346421021
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameDR. TYLER J BLACKWELDERCredential: DPT
Location Address827 W PRAIRIE AVEHayden, ID 83835-8459
Mailing Address827 W Prairie AveHayden, ID 83835-8459 · (208) 758-0484 · Fax (208) 561-7242
Fax(208) 561-7242
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateNovember 21, 2007
Last NPPES UpdateMay 13, 20244 updates tracked since enumeration
NPPES CertifiedMay 13, 2024
NPI 1346421021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in ID · PT-2507
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
827 W PRAIRIE AVE, Hayden, ID 83835

Other Identifiers 2

Other1652803ID · Medicare Provider Number
Medicaid008105ID

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Tyler J Blackwelder Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799835807
PECOS Enrollment IDI20090611000435

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83835 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 18

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

Counselor (Mental Health)
827 W PRAIRIE AVE
HAYDEN, ID 83835
Counselor (Professional)
827 W PRAIRIE AVE
HAYDEN, ID 83835
Clinic/Center (Multi-Specialty)
827 W PRAIRIE AVE
HAYDEN, ID 83835
Behavior Technician
827 W PRAIRIE AVE
HAYDEN, ID 83835
Physical Therapy Assistant
827 W PRAIRIE AVE
HAYDEN, ID 83835
Massage Therapist
827 W PRAIRIE AVE
HAYDEN, ID 83835
Clinic/Center (VA)
827 W PRAIRIE AVE
HAYDEN, ID 83835
Behavior Technician
827 W PRAIRIE AVE
HAYDEN, ID 83835

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 Blackwelder's NPI number?

The NPI number for Tyler Blackwelder is 1346421021. It was assigned to this individual provider in the NPPES registry on November 21, 2007.

Where is Tyler Blackwelder located?

Tyler Blackwelder practices at 827 W Prairie Ave, Hayden, ID 83835. The listed phone number is (208) 819-8486.

What is Tyler Blackwelder's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Tyler Blackwelder enrolled in Medicare?

Yes. Tyler Blackwelder is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Tyler Blackwelder accept?

Health plans from PacificSource Health Plans list Tyler Blackwelder as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tyler Blackwelder was last updated on May 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.