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

Dr. Jacob Clifford Tyson, DPT

Individual provider Physical Therapist · NPI 1922600543

Dr. Jacob Clifford Tyson, DPT is a Physical Therapist in Private Practice in Durham, North Carolina. Graduated from University of North Carolina at Chapel Hill School of Medicine in 2020, 6 years ago. Licensed in North Carolina.

Years since qualifying
6
Trained at
University of North Carolina at Chapel Hill School of Medicine
Licensed in
NC
In the registry since
2020
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

3500 Westgate Dr Ste 504
Durham, NC 27707-2568
Phone: (919) 489-8809
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence P19758 (NC)

Record details

NPI number1922600543
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedNovember 9, 2020
Last updated in NPPESDecember 15, 2025
Certification dateDecember 15, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated

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