TYLER PROULX DPT
NPI 1992637755
Physical Therapist in Bangor, ME
About Tyler Proulx Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TYLER PROULX DPT (NPI 1992637755) is an individual physical therapist in Bangor, Maine, licensed in Maine (PT7465) and active in the NPI registry since June 2026. He is a graduate of Other (2026).
NPPES Registry Identity
Specialties & Licenses
- 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.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tyler Proulx Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Tyler Proulx reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Topsham, ME 04086
- Reassigned Medicare billing, Maine enrollment
- Medicare enrollment name: Greater Brunswick Physical Therapy PA
- 29 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Proulx's NPI number?
The NPI number for Tyler Proulx is 1992637755. It was assigned to this individual provider in the NPPES registry on June 3, 2026.
Where is Tyler Proulx located?
Tyler Proulx practices at 727 Broadway, Bangor, ME 04401. The listed phone number is (207) 573-3160.
What is Tyler Proulx's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Tyler Proulx enrolled in Medicare?
Yes. Tyler Proulx is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Tyler Proulx's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tyler Proulx reassigns Medicare benefits to Greater Brunswick Physical Therapy P.A. (Topsham, ME). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tyler Proulx's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Tyler Proulx was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.