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

Tyler C Whiteside, DPT

Individual provider Physical Therapist · NPI 1619001120

Tyler C Whiteside, DPT is a Physical Therapist in Private Practice in Wilmington, North Carolina. Qualified in 2002, 24 years ago. Practices with Momentum PT and Wellness Ltd, a 3-clinician group. Licensed in North Carolina.

Years since qualifying
24
Licensed in
NC
In the registry since
2007
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

2467 S 17th St Unit A
Wilmington, NC 28401-7903
Phone: (703) 980-5570
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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 P11905 (NC)

Record details

NPI number1619001120
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedMarch 15, 2007
Last updated in NPPESDecember 12, 2025
Certification dateDecember 12, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Momentum Pt And Wellness Ltd — 3 clinicians
Accepts Medicare assignment Not indicated

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