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

Tyler Gentry Park, PT

Individual provider Physical Therapist · NPI 1871946574

Tyler Gentry Park, PT is a Physical Therapist in Private Practice in Albany, Oregon. Qualified in 2016, 10 years ago. Practices with Albany General Hospital, a 191-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
10
Licensed in
OR
In the registry since
2016
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

400 Hickory St NW Ste 201
Albany, OR 97321-1700
Phone: (541) 812-5840
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 61779 (OR)

Record details

NPI number1871946574
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedJuly 18, 2016
Last updated in NPPESNovember 4, 2020
Certification dateNovember 4, 2020

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Albany General Hospital — 191 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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