Tyler Martin · Physical Therapist

2223 Lime Kiln Rd, Green Bay, WI 54311-6234

Overview

Tyler Martin is a Physical Therapist practicing in Green Bay, Wisconsin. The National Provider Identifier (NPI) is #1720893571, which was assigned on February 10, 2025, and the registration record was last updated on July 11, 2025. The practitioner's main practice location is at 2223 Lime Kiln Rd, Green Bay, WI 54311-6234; the contact telephone number is 9204257140. The primary taxonomy of Tyler Martin is Physical Therapist (225100000X). Tyler Martin is licensed to practice in the state of Wisconsin.

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.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. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Provider Information

NPI 1720893571
Entity Type Individual
Provider Name TYLER MARTIN
Gender Male
Credential PT, DPT
Practice Address 2223 Lime Kiln Rd
Green Bay
WI 54311-6234
Practice Telephone 9204257140
Mailing Address 2105 E Enterprise Ave Ste 113
Appleton
WI 54913-7862
Certification Date 2025-07-11
Enumeration Date 2025-02-10
Last Update Date 2025-07-11
Is Sole Proprietor N

Doctor and Clinician Information

PAC ID 6709306434
Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID
Full Name TYLER MARTIN
Primary Specialty PHYSICAL THERAPIST IN PRIVATE PRACTICE
Organization Legal Name ADVANCED PHYSICAL THERAPY AND SPORTS MEDICINE SC
Address 2223 Lime Kiln Rd
Green Bay
WI 54311-6213

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y225100000XPhysical TherapistWI

Taxonomy Information

Primary Taxonomy

Code 225100000X
Taxonomy Physical Therapist
Classification Physical Therapist
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.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. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
Notes: Source: American Physical Therapy Association [1/1/2020: definition modified] Additional resources: https://www.apta.org/PTCareers/RoleofaPT/

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Location Information

Street Address 2223 LIME KILN RD
City GREEN BAY
State WI
Zip Code 54311-6234
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Briana Wasielewski 2223 Lime Kiln Rd, Green Bay, WI 54311-6234Physical Therapist2025-05-20
Andrew J Taber 2223 Lime Kiln Rd, Green Bay, WI 54311-6213Physical Therapist2005-12-07
Elizabeth Bohrer 2223 Lime Kiln Rd Ste 1, Green Bay, WI 54311-6238Student in an Organized Health Care Education/Training Program2018-08-27
Sean Green 2223 Lime Kiln Rd, Green Bay, WI 54311-6213Physical Therapist2023-07-21
Jason Paul Klein 2223 Lime Kiln Rd, Suite 1, Green Bay, WI 54311-6213Orthopaedic Surgery Physician2006-11-01
Thomas Andrew Sullivan 2223 Lime Kiln Rd, Suite 1, Green Bay, WI 54311-6213Orthopaedic Surgery Physician2006-11-01
Nicole Marie Goodman 2223 Lime Kiln Rd Ste 1, Green Bay, WI 54311-6238Family Nurse Practitioner2021-07-13
Lauren Michelle Berry 2223 Lime Kiln Rd, Green Bay, WI 54311-6213Rheumatology Physician2019-03-27
Steven J Schechinger 2223 Lime Kiln Rd, Suite 1, Green Bay, WI 54311-6213Orthopaedic Surgery Physician2007-08-22
Michael Harper 2223 Lime Kiln Rd, Green Bay, WI 54311-6213Physical Medicine & Rehabilitation Physician2017-03-26
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Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Power of Peace Housing and Recovery Service LLC 4414 Nicolet Dr Bay Wi54311, Green Bay, WI 54311-1100Assisted Living Facility (Behavioral Disturbances)2025-03-01
Jennifer M Wachowiak 1496 Bellevue St Ste 502, Green Bay, WI 54311-4251Psychiatric/Mental Health Nurse Practitioner2025-08-25
Sbh-Green Bay LLC 1351 Ontario Rd, Green Bay, WI 54311Mental Health Clinic/Center (Including Community Mental Health Center)2016-09-21
County of Brown 3150 Gershwin Dr, Green Bay, WI 54311-4328Case Management Agency2025-07-15
Kelsey Rose Esser · Kelsey Janssen 2605 Development Dr, Green Bay, WI 54311-4240Physician Assistant2024-05-30
Kathryn Meadowcroft 2581 Development Dr, Green Bay, WI 54311-4247Family Nurse Practitioner2023-01-06
Logan Wilz 3150 Gershwin Dr, Green Bay, WI 54311-4328Clinical Psychologist2023-09-25
Hannah E Miller · Hannah E Podvin 2617 Development Dr, Green Bay, WI 54311-4240Physician Assistant2018-08-01
Gabrielle Arline Rutherford 2581 Development Dr, Green Bay, WI 54311-4247Registered Nurse2025-03-10
Jennifer Ann Russell 2851 University Ave, Green Bay, WI 54311Student in an Organized Health Care Education/Training Program2017-09-27
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.