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

Tyler Shorts

Individual provider Physical Therapist · NPI 1366951055

Tyler Shorts is a Physical Therapist in Private Practice in Laurel, Maryland. Qualified in 2016, 10 years ago. Practices with Tidewater Physical Therapy LLC, a 222-clinician group, works from 3 locations and accepts Medicare assignment.

Years since qualifying
10
In the registry since
2017
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Practice location Address checks out

14405 Laurel Pl Ste 102
Laurel, MD 20707-6102
Phone: (301) 498-8322
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 9801 Georgia Ave Ste 111, Silver Spring, MD 20902-5276 — (301) 593-7300
  • 841 Glendale Rd Apt 12, Galax, VA 24333-2316 — (276) 236-9991

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1366951055
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 25, 2017
Last updated in NPPESFebruary 12, 2020
Certification dateFebruary 12, 2020
Mailing addressPo Box 419666, Boston, MA 02241-9666

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Tidewater Physical Therapy Llc — 222 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Laurel