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

Tyler Ian Davis

Individual provider Physical Therapist · NPI 1780322693

Tyler Ian Davis is a Physical Therapist in Private Practice in Grandview, Missouri. Qualified in 2019, 7 years ago. Practices with Athletico Ltd, a 2,186-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida, Missouri and North Carolina.

Years since qualifying
7
Licensed in
FL, MO, NC
In the registry since
2022
Specialties on file
3
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Practice location Address checks out

12404 S US Highway 71
Grandview, MO 64030-1733
Phone: (816) 285-0194
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 15315 W 67th St, Shawnee, KS 66217-9365 — (913) 632-4785
  • 2140 W Arlington Blvd Ste B, Greenville, NC 27834-5709 — (252) 565-4950

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2019019252 (MO)
Physical Therapist Taxonomy 225100000X · Licence PT38748 (FL)
Physical Therapist Taxonomy 225100000X · Licence P22812 (NC)

Record details

NPI number1780322693
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 23, 2022
Last updated in NPPESJanuary 6, 2026
Certification dateJanuary 6, 2026
Mailing address2122 York Rd Ste 300, Oak Brook, IL 60523-1925

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Athletico Ltd — 2186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Grandview