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

Tyler Tackett, DPT

Individual provider Physical Therapist · NPI 1770956294

Tyler Tackett, DPT is a Physical Therapist in Private Practice in Taylorsville, Kentucky. Qualified in 2012, 14 years ago. Practices with Sn Kentuckiana Rehab, LLC, a 343-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
14
Licensed in
KY
In the registry since
2015
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

543 Taylorsville Rd Ste 101
Taylorsville, KY 40071-6766
Phone: (502) 477-6410
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 006755 (KY)

Record details

NPI number1770956294
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedNovember 5, 2015
Last updated in NPPESNovember 5, 2015
Mailing address543 Taylorsville Rd Ste 101, Taylorsville, KY 40071-6766

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Sn Kentuckiana Rehab, Llc — 343 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Taylorsville