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

Tyler Raymaker, DPT, PT

Individual provider Physical Therapist · NPI 1023521663

Tyler Raymaker, DPT, PT is a Physical Therapist in Private Practice in Kenosha, Wisconsin. Qualified in 2017, 9 years ago. Practices with Athletico Ltd, a 2,186-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
9
Licensed in
WI
In the registry since
2017
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

3701 80th St
Kenosha, WI 53142-4950
Phone: (262) 697-1730
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 8333 Gridley Ave, Wauwatosa, WI 53213-3041 — (920) 639-3291
  • 8333 Gridley Ave, Wauwatosa, WI 53213-3041 — (920) 639-3291

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 13966-24 (WI)

Record details

NPI number1023521663
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT , PT
Sole proprietorNo
NPI enumeratedNovember 6, 2017
Last updated in NPPESMarch 17, 2018
Mailing address625 Enterprise Dr, Oak Brook, IL 60523-8813

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Athletico Ltd — 2186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Kenosha