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

Tyler Booth

Individual provider Physical Therapist · NPI 1437643012

Tyler Booth is a Physical Therapist in Private Practice in Chicago, Illinois. Qualified in 2018, 8 years ago. Practices with Athletico Ltd, a 2,186-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
8
Licensed in
IL
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

500 W Madison St Spc C024
Chicago, IL 60661-4544
Phone: (312) 863-4900
Fax: (312) 863-4901
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1909 N Morton Ave, Morton, IL 61550-1426 — (309) 266-5488
  • 133 W Main St Ste 120, Northville, MI 48167-1548 — (248) 347-1252

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070028074 (IL)
Physical Therapist Taxonomy 225100000X

Record details

NPI number1437643012
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 18, 2018
Last updated in NPPESMay 7, 2024
Certification dateJanuary 17, 2022
Mailing address2122 York Rd Ste 300, Oak Brook, IL 60523-1925

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Athletico Ltd — 2186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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