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

Tavis Ciochetty, PT

Individual provider Physical Therapist · NPI 1942742093

Tavis Ciochetty, PT is a Physical Therapist in Private Practice in Bowling Green, Kentucky. Qualified in 2016, 10 years ago. Practices with Graves Gilbert Clinic PLLC, a 217-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
10
Licensed in
KY
In the registry since
2016
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

5796 Nashville Rd
Bowling Green, KY 42101-7546
Phone: (270) 780-0552
Fax: (270) 780-0490
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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 006945 (KY)

Record details

NPI number1942742093
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedNovember 7, 2016
Last updated in NPPESAugust 27, 2025
Certification dateAugust 27, 2025
Mailing address201 Park St, Bowling Green, KY 42101-1708

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Graves Gilbert Clinic Pllc — 217 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bowling Green