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

Dr. Tyler Phan, DPT

Individual provider Physical Therapist · NPI 1700692613

Dr. Tyler Phan, DPT is a Physical Therapist in Private Practice in North Fort Myers, Florida. Qualified in 2024, 2 years ago. Practices with Performance Rehabilitation of Western New England LLC, a 201-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
2
Licensed in
FL
In the registry since
2024
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

16251 N Cleveland Ave Ste 3
North Fort Myers, FL 33903-2176
Phone: (239) 731-6222
Fax: (239) 731-6555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (FL)

Record details

NPI number1700692613
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedDecember 5, 2024
Last updated in NPPESDecember 5, 2024
Certification dateDecember 5, 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 Performance Rehabilitation Of Western New England Llc — 201 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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