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

Tyler Burcham, DPT

Individual provider Physical Therapist · NPI 1912138231

Tyler Burcham, DPT is a Physical Therapist in Private Practice in Fargo, North Dakota. Qualified in 2009, 17 years ago. Practices with Rehabauthority LLC, a 48-clinician group and accepts Medicare assignment. Licensed in Idaho and North Dakota.

Years since qualifying
17
Licensed in
ID, ND
In the registry since
2009
Specialties on file
3
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

3170 43rd St S Ste 101
Fargo, ND 58104-8908
Phone: (701) 277-8448
Fax: (701) 277-8668
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1738 (ND)
Specialist Taxonomy 174400000X · Licence PT2542 (ID)
Physical Therapist Taxonomy 225100000X · Licence PT-2542 (ID)

Record details

NPI number1912138231
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 4, 2009
Last updated in NPPESJune 6, 2013
Mailing address1560 S Carol St, Meridian, ID 83646-1839

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Rehabauthority Llc — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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