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

Tyler Randolph, PT

Individual provider Physical Therapist · NPI 1457027732

Tyler Randolph, PT is a Physical Therapist in Private Practice in Mt Juliet, Tennessee. Graduated from Emory University School of Medicine in 2020, 6 years ago. Practices with Pittman Physical Therapy LLC, a 10-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
6
Trained at
Emory University School of Medicine
Licensed in
TN
In the registry since
2021
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

77 Belinda Pkwy
Mt Juliet, TN 37122-8592
Phone: (615) 695-1419
Fax: (615) 321-6226
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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 15319 (TN)

Record details

NPI number1457027732
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 18, 2021
Last updated in NPPESJuly 10, 2025
Certification dateJuly 10, 2025
Mailing addressPo Box 306556, Nashville, TN 37230-6556

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolEMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Pittman Physical Therapy Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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