Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tyler Bryce Fadul

Individual provider Physical Therapist · NPI 1154993053

Tyler Bryce Fadul is a Physical Therapist in Private Practice in Harrisburg, Pennsylvania. Qualified in 2021, 5 years ago. Practices with Privia Medical Group, LLC, a 1,518-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
5
Licensed in
PA
In the registry since
2021
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Practice location Address checks out

820 Sir Thomas Ct
Harrisburg, PA 17109-4839
Phone: (717) 657-9024
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7965 Heritage Village Plz, Gainesville, VA 20155-3077 — (571) 486-1899

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT031428 (PA)

Record details

NPI number1154993053
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 12, 2021
Last updated in NPPESAugust 14, 2023
Certification dateAugust 14, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Privia Medical Group, Llc — 1518 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Harrisburg