Tyler James Thornburg, PT, DPT
NPI 1790392058ActiveIndividual· Physical Therapist· Chantilly, VA
Physical Therapist (PT, DPT) in Chantilly, Virginia, licensed in MD and WV, with an NPI issued in September 2020. Medicare paid $122,826 for services to 128 patients in 2024.
Overview
| NPI | 1790392058 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT |
| Sole proprietor | No |
| NPI issued | Sep 30, 2020 |
| Last updated in NPPES | Jun 30, 2026 |
| Certified by provider | Jun 30, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 28140 | MD |
| Physical Therapist | 225100000X | PT004346 | WV |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (DC); Practitioner - Physical Therapist in Private Practice (MD); Practitioner - Physical Therapist in Private Practice (PA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 128 |
|---|---|
| Services billed | 5,858 across 11 procedure codes |
| Paid by Medicare | $122,826 |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
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All 55 physical therapists in Chantilly · All physical therapists in Virginia