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

Tyler Emerson Mellecker, PTA

Individual provider Physical Therapy Clinic/Center · NPI 1760280481

Tyler Emerson Mellecker, PTA is a Physical Therapy Clinic/Center in Estero, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2025
Specialties on file
2
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

20973 Corkscrew Shores Blvd
Estero, FL 33928-9146
Phone: (630) 687-0574
Fax: (239) 320-3231
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 27302 (FL)
Physical Therapy Clinic/Center Taxonomy 261QP2000X · Licence 27302 (FL)

Record details

NPI number1760280481
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedMarch 6, 2025
Last updated in NPPESMarch 6, 2025
Certification dateMarch 6, 2025

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