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

Tyler Shaw, PTA

Individual provider Physical Therapy Assistant · NPI 1912711441

Tyler Shaw, PTA is a Physical Therapy Assistant in Novi, Michigan. Licensed in Michigan. Registered with an NPI since 2025.

Licensed in
MI
In the registry since
2025
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

23655 Novi Rd Ste 101
Novi, MI 48375-5442
Phone: (248) 277-3440
Fax: (248) 277-3441
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 5502008732 (MI)

Record details

NPI number1912711441
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedFebruary 5, 2025
Last updated in NPPESFebruary 5, 2025
Certification dateFebruary 5, 2025
Mailing address33900 Harper Ave Ste 104, Clinton Twp, MI 48035-4258

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