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

Tyler Egbert

Individual provider Physical Therapist · NPI 1467909317

Tyler Egbert is a Physical Therapist in Private Practice in Wendell, Idaho. Qualified in 2022, 4 years ago. Practices with Lon M. Egbert, PC, a 3-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
4
Licensed in
ID
In the registry since
2016

Practice location Address checks out

429 N Idaho St
Wendell, ID 83355-5050
Phone: (208) 536-3090
Fax: (208) 536-3090
Show map & directions

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

Additional practice locations (1)

  • 128 5th Ave W, Jerome, ID 83338-1863 — (280) 324-3090

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT-7991 (ID)

Record details

NPI number1467909317
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 8, 2016
Last updated in NPPESNovember 29, 2023
Certification dateNovember 29, 2023
Mailing address3121 Eagle Ridge Dr, Wendell, ID 83355-3340

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Lon M. Egbert, P.C. — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Wendell