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

Tyler Jordan Phillips

Individual provider Physical Therapist · NPI 1427889351

Tyler Jordan Phillips is a Physical Therapist in Private Practice in Crown Point, Indiana. Qualified in 2024, 2 years ago. Practices with Fast Track Physical Therapy LLC, a 12-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
2
Licensed in
IN
In the registry since
2024
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Practice location Address checks out

1841 E Summit St
Crown Point, IN 46307-2768
Phone: (219) 801-7777
Fax: (219) 801-7677
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 660 Morthland Dr Ste D, Valparaiso, IN 46385-4638 — (219) 801-7777

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 05015653A (IN)

Record details

NPI number1427889351
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 12, 2024
Last updated in NPPESAugust 12, 2024
Certification dateAugust 12, 2024
Mailing address1841 E Summit St, Crown Point, IN 46307-2768

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 Fast Track Physical Therapy Llc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Crown Point