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

Dr. Jackson Wallace Tyler, DPT

Individual provider Physical Therapist · NPI 1518411818

Dr. Jackson Wallace Tyler, DPT is a Physical Therapist in Charleston, South Carolina. Works from 3 locations. Licensed in Colorado and South Carolina.

Licensed in
CO, SC
In the registry since
2016
Specialties on file
2
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

445 Savannah Hwy
Charleston, SC 29407
Phone: (843) 766-2121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4105 Briargate Pkwy Ste 300, Colorado Springs, CO 80920-3487 — (719) 571-8888
  • 17230 Jackson Creek Pkwy Ste 170, Monument, CO 80132-7303 — (719) 571-7080

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 8153 (SC)
Physical Therapist Taxonomy 225100000X · Licence PTL.0018085 (CO)

Record details

NPI number1518411818
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 4, 2016
Last updated in NPPESJanuary 6, 2022
Certification dateJanuary 6, 2022

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