Samuel Wat Tyler, PT, DPT - Physical Therapist in Boise, ID

Samuel Wat Tyler, PT, DPT is a Physical Therapist based in Boise, Idaho. Samuel Wat Tyler is licensed to practice in Idaho (license number PT-6569) and his current practice location is 703 S Americana Blvd Ste 130, Boise, Idaho. He can be reached at his office (for appointments etc.) via phone at (208) 706-7530.

NPI number for Samuel Wat Tyler is 1245870245 and his current mailing address is 3016 S Gekeler Ln, Boise, Idaho. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1245870245.

Contact Information

Samuel Wat Tyler, PT, DPT
703 S Americana Blvd Ste 130,
Boise, ID 83702-6754
(208) 706-7530
Not Available



Healthcare Provider's Profile

Full NameSamuel Wat Tyler
GenderMale
SpecialityPhysical Therapist
Location703 S Americana Blvd Ste 130, Boise, Idaho
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1245870245
  • Provider Enumeration Date: 01/08/2020
  • Last Update Date: 01/08/2020

Medical Identifiers

Medical identifiers for Samuel Wat Tyler such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245870245NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist PT-6569 (Idaho)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. Samuel Wat Tyler 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 AddressPractice Location Address
Samuel Wat Tyler, PT, DPT
3016 S Gekeler Ln,
Boise, ID 83706-5201

Ph: (720) 557-1636
Samuel Wat Tyler, PT, DPT
703 S Americana Blvd Ste 130,
Boise, ID 83702-6754

Ph: (208) 706-7530

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Physical Therapist in Boise, ID

Mrs. Dianne Denise Nelson, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1130 Allumbaugh St, Boise, ID 83704
Phone: 208-854-8517    
Peter H Kolb, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 901 N Curtis Rd Ste 204, Boise, ID 83706
Phone: 208-367-3315    Fax: 208-367-2674
Melissa Pirtle, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 703 S Americana Blvd, Suite 130, Boise, ID 83702
Phone: 208-706-7530    Fax: 208-706-7531
Kyle Aaron Holbrook, PT, DPT, NCS
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 600 N Robbins Rd, Boise, ID 83702
Phone: 208-489-4444    
Rebecca Wensel, P.T.
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 190 E Bannock St, Boise, ID 83712
Phone: 208-381-2138    
Bridget Gilbertson, PT, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 703 S Americana Blvd Ste 130, Boise, ID 83702
Phone: 208-706-7530    
Idaho Physical Therapy
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1175 E Parkcenter Blvd, Ste 101, Boise, ID 83706
Phone: 208-367-1010    

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