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

Tyler Doughty

Individual provider Physical Therapy Assistant · NPI 1467869990

Tyler Doughty is a Physical Therapy Assistant in Mattoon, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2014

Practice location Address checks out

1213 Annis Ave
Mattoon, IL 61938-6016
Phone: (217) 246-7963
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 160.006046 (IL)

Record details

NPI number1467869990
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 16, 2014
Last updated in NPPESJuly 16, 2014
Mailing address1213 Annis Ave, Mattoon, IL 61938-6016

Other providers in Mattoon