Tyler J Shotto, DPT is a
Physical Medicine & Rehabilitation - Sports Medicine physician based in Brodheadsville, Pennsylvania. Tyler J Shotto is licensed to practice in Pennsylvania (license number PT030276) and his current practice location is 111 Route 715, Brodheadsville, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at
(272) 212-0430.
NPI number for Tyler J Shotto is 1285380196 and his current mailing address is 100 Dream Dr Apt C34, Wind Gap, Pennsylvania. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1285380196.
Physician's Profile
| Full Name | Tyler J Shotto |
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| Gender | Male |
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| Speciality | Physical Medicine & Rehabilitation - Sports Medicine |
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| Location | 111 Route 715, Brodheadsville, Pennsylvania |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1285380196
- Provider Enumeration Date: 03/01/2022
- Last Update Date: 03/01/2022
Medical Identifiers
Medical identifiers for Tyler J Shotto such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285380196 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | PT030276 (Pennsylvania) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tyler J Shotto is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Tyler J Shotto, DPT
100 Dream Dr Apt C34,
Wind Gap, PA 18091-7700
Ph: (570) 903-9994 | Tyler J Shotto, DPT
111 Route 715,
Brodheadsville, PA 18322-7101
Ph: (272) 212-0430 |
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