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

Tyler Sanford

Individual provider Physical Therapist · NPI 1790520088

Tyler Sanford is a Physical Therapist in Private Practice in Augusta, Georgia. Qualified in 2024, 2 years ago. Practices with Independent Physical Therapy of Georgia LLC, a 529-clinician group. Licensed in South Carolina.

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

254 Robert C Daniel Jr Pkwy Ste 4B
Augusta, GA 30909-0812
Phone: (706) 723-5795
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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 CP033011T (SC)

Record details

NPI number1790520088
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 27, 2024
Last updated in NPPESAugust 1, 2024
Certification dateAugust 1, 2024

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 Independent Physical Therapy Of Georgia Llc — 529 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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