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

Tyler Jordan Phillips

Individual provider Physical Therapist · NPI 1427889351

Tyler Jordan Phillips is a Physical Therapist in Private Practice in Crown Point, Indiana. Qualified in 2024, 2 years ago. Practices with Fast Track Physical Therapy LLC, a 12-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
2
Licensed in
IN
In the registry since
2024
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Practice location Address checks out

1841 E Summit St
Crown Point, IN 46307-2768
Phone: (219) 801-7777
Fax: (219) 801-7677
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 660 Morthland Dr Ste D, Valparaiso, IN 46385-4638 — (219) 801-7777

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 05015653A (IN)

Record details

NPI number1427889351
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 12, 2024
Last updated in NPPESAugust 12, 2024
Certification dateAugust 12, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Fast Track Physical Therapy Llc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Crown Point