NPI age
18 years
Enumerated 2007-11-21
● Active
Type 1 · Individual
DR. Tyler J Blackwelder, DPT
Blackwelder is 1 of 31 physical therapist providers in Hayden and 1 of 2006 in Idaho.
Primary specialty
Physical Therapist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-05-13
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 2006 active physical therapist providers in Idaho.
NPI age
18 years
↑ 7 yr above median (11 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
16% of peers hold subspecialties
NPI lifetime · 2007 → 2026
2007-11Enumerated in NPPES
2007
2026
Where they practice
Practice location
827 W Prairie Ave
Hayden, ID 838358459
Mailing address
827 W Prairie Ave
Hayden, ID 838358459
Specialties
-
Physical Therapist PrimaryPhysical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 1652803 | MEDICARE PROVIDER NUMBER |
| 05 (ID) | 008105 |
Practice context
Part of a multi-provider practice. 18 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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