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

Timothy Wayne Tucker, MPT

Individual provider Physical Therapist · NPI 1912969973

Timothy Wayne Tucker, MPT is a Physical Therapist in Private Practice in Bolingbrook, Illinois. Graduated from Baltimore University School of Medicine in 2014, 12 years ago. Practices with Ati Holdings, LLC, a 439-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
12
Trained at
Baltimore University School of Medicine
Licensed in
MD
In the registry since
2006
What do these letters mean?
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.

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Practice location Address checks out

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone: (630) 296-2223
Fax: (630) 759-9510
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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 21247 (MD)

Record details

NPI number1912969973
Entity typeIndividual (Type 1)
GenderMale
Credentials MPT
Sole proprietorNo
NPI enumeratedApril 5, 2006
Last updated in NPPESMarch 7, 2024
Certification dateMarch 7, 2024
Mailing address790 Remington Blvd, Bolingbrook, IL 60440-4909

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolBALTIMORE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Ati Holdings, Llc — 439 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Bolingbrook