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

Tyler Van Bastian, DPT

Individual provider Physical Therapist · NPI 1558979245

Tyler Van Bastian, DPT is a Physical Therapist in Albuquerque, New Mexico. Licensed in New Mexico. Registered with an NPI since 2020.

Licensed in
NM
In the registry since
2020
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

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 · Licence PT5730 (NM)

Record details

NPI number1558979245
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJuly 19, 2020
Last updated in NPPESJuly 19, 2020
Certification dateJuly 19, 2020

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