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

Tyler James Gregurich

Individual provider Athletic Trainer · NPI 1063059061

Tyler James Gregurich is a Physical Therapist in Private Practice in Albuquerque, New Mexico. Qualified in 2024, 2 years ago. Practices with New Mexico Orthopaedic Associates PC, a 74-clinician group and accepts Medicare assignment. Licensed in Nebraska.

Years since qualifying
2
Licensed in
NE
In the registry since
2019
Specialties on file
3
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Practice location Address checks out

2100 Louisiana Blvd NE Ste 410
Albuquerque, NM 87110-5412
Phone: (505) 724-4300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Athletic Trainer Taxonomy 2255A2300X (NE)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (NE)

Record details

NPI number1063059061
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 9, 2019
Last updated in NPPESApril 1, 2024
Certification dateApril 1, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice New Mexico Orthopaedic Associates Pc — 74 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Albuquerque