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

Tyler James Cooper, PT

Individual provider Physical Therapist · NPI 1902573405

Tyler James Cooper, PT is a Physical Therapist in Private Practice in Kailua Kona, Hawaii. Qualified in 2024, 2 years ago. Practices with Hawaiian Rehabilitation Services Inc, a 9-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona and Hawaii.

Years since qualifying
2
Licensed in
AZ, HI
In the registry since
2021
Specialties on file
2
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

75-165 Hualalai Rd Ste 100
Kailua Kona, HI 96740-3722
Phone: (808) 329-0591
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3480 E Route 66, Flagstaff, AZ 86004-4032 — (928) 438-9985

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT-6095 (HI)
Behavior Technician Taxonomy 106S00000X · Licence RBT-21-181388 (AZ)

Record details

NPI number1902573405
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 24, 2021
Last updated in NPPESJanuary 29, 2025
Certification dateJanuary 29, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Hawaiian Rehabilitation Services Inc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Kailua Kona