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

Tyler Mitchell Baxter, DPT, OCS, ATC, CSCS

Individual provider Athletic Trainer · NPI 1568599215

Tyler Mitchell Baxter, DPT, OCS, ATC, CSCS is a Physical Therapist in Private Practice in Coeur D Alene, Idaho. Qualified in 2006, 20 years ago. Practices with Orthopedic Surgery and Sports, a 28-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
20
Licensed in
ID
In the registry since
2007
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

1812 N Lakewood Dr Ste 100
Coeur D Alene, ID 83814-2635
Phone: (208) 966-4476
Fax: (208) 966-4475
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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 PT-2565 (ID)
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1568599215
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT , OCS , ATC , CSCS
Sole proprietorNo
NPI enumeratedFebruary 28, 2007
Last updated in NPPESMarch 11, 2025
Certification dateMarch 11, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Orthopedic Surgery And Sports — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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