Provider Demographics
NPI:1144857145
Name:HEWETT, TYLER JAMES (PT, DPT)
Entity type:Individual
Prefix:
First Name:TYLER
Middle Name:JAMES
Last Name:HEWETT
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7010 ENGLE RD STE 105
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBURG HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44130-8401
Mailing Address - Country:US
Mailing Address - Phone:440-260-3736
Mailing Address - Fax:440-239-0979
Practice Address - Street 1:7010 ENGLE RD STE 105
Practice Address - Street 2:
Practice Address - City:MIDDLEBURG HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44130-8401
Practice Address - Country:US
Practice Address - Phone:440-260-3736
Practice Address - Fax:440-239-0979
Is Sole Proprietor?:No
Enumeration Date:2020-03-27
Last Update Date:2020-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT0183552251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic