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

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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