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

Tyler Lee Graham, PT

Individual provider Physical Therapist · NPI 1871074666

Tyler Lee Graham, PT is a Physical Therapist in Private Practice in Conway, Arkansas. Qualified in 2018, 8 years ago. Practices with Blue Rose Physical Therapy - West Little Rock LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
8
Licensed in
AR
In the registry since
2018
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

2740 College Ave
Conway, AR 72034-6141
Phone: (501) 329-5459
Fax: (501) 327-1738
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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 4555 (AR)

Record details

NPI number1871074666
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 28, 2018
Last updated in NPPESAugust 28, 2018

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Blue Rose Physical Therapy - West Little Rock Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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