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

Tyler Jackson, DPT

Individual provider Physical Therapist · NPI 1023489796

Tyler Jackson, DPT is a Physical Therapist in Private Practice in Cupertino, California. Qualified in 2015, 11 years ago. Licensed in California.

Years since qualifying
11
Licensed in
CA
In the registry since
2015
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

20823 Stevens Creek Blvd
Cupertino, CA 95014-2108
Phone: (408) 252-6076
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 43079 (CA)

Record details

NPI number1023489796
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedOctober 7, 2015
Last updated in NPPESOctober 7, 2015
Mailing address20823 Stevens Creek Blvd, Cupertino, CA 95014-2108

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Not indicated

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