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

MS. Stacy Lynne Tylka, DPT

Individual provider Physical Therapist · NPI 1790702298

MS. Stacy Lynne Tylka, DPT is a Physical Therapist in Private Practice in Saint Louis, Missouri. Graduated from Washington University School of Medicine in 2009, 17 years ago. Practices with Washington University, a 2,986-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
17
Trained at
Washington University School of Medicine
Licensed in
MO
In the registry since
2006
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

4444 Forest Park Ave Ste 1210
Saint Louis, MO 63108-2212
Phone: (314) 286-1940
Fax: (314) 286-1473
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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 2002005865 (MO)

Record details

NPI number1790702298
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedJuly 17, 2006
Last updated in NPPESApril 17, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolWASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice Washington University — 2986 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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