Tyler Burcham, DPT | |
3170 43rd St S, Suite 101, Fargo, ND 58104-8908 | |
(701) 277-8448 | |
(701) 277-8668 |
Full Name | Tyler Burcham |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 15 Years |
Location | 3170 43rd St S, Fargo, North Dakota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912138231 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 1738 (North Dakota) | Primary |
174400000X | Specialist | PT2542 (Idaho) | Secondary |
225100000X | Physical Therapist | PT-2542 (Idaho) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Rehabauthority Llc | 1355333931 | 46 |
Provider Name | Rehabauthority Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1730159690 PECOS PAC ID: 1355333931 Enrollment ID: O20110621000265 |
Mailing Address | Practice Location Address |
---|---|
Tyler Burcham, DPT 1560 S Carol St, Meridian, ID 83646-1839 Ph: (208) 288-1155 | Tyler Burcham, DPT 3170 43rd St S, Suite 101, Fargo, ND 58104-8908 Ph: (701) 277-8448 |
Professional Rehabilitation Center Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4420 37th Ave S, Fargo, ND 58104 Phone: 701-451-9417 | |
Mikaela Joy Dick, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1461 Broadway N, Fargo, ND 58102 Phone: 701-293-6037 | |
Adrienne Erdmann, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2401 41st St S, Fargo, ND 58104 Phone: 701-478-7868 | |
Denise R Kroke, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2301 25th St S, Fargo, ND 58103 Phone: 701-280-2212 Fax: 701-271-1023 | |
Sana Ali, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 701-364-8000 Fax: 701-364-8078 | |
Ms. Theresa Marie Cowles, D.P.T Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-5799 | |
Mrs. Brittany Sue Anderson, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3001 11th St S, Fargo, ND 58103 Phone: 701-356-0062 Fax: 701-356-5412 |