Matthew Tyner
NPI 1306200753ActiveIndividual· Physical Therapist, Geriatrics· Angwin, CA
Physical Therapist, Geriatrics in Angwin, California, trained at Loma Linda University School of Medicine (class of 2022). Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1306200753 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Apr 12, 2016 |
| Last updated in NPPES | Apr 12, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist, Geriatrics Primary | 2251G0304X | 25182 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (GA) |
|---|
Education and affiliations
| Medical school | Loma Linda University School of Medicine |
|---|---|
| Graduation year | 2022 |
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Southeastern Swallowing DiagnosticsSmyrna, GA · 13 clinicians