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

Tyson Coffey

Individual provider Physical Therapist · NPI 1750760260

Tyson Coffey is a Physical Therapist in Private Practice in Carlyle, Illinois. Qualified in 2014, 12 years ago. Practices with Jeffrey a Schatz, a 6-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
12
Licensed in
IL
In the registry since
2015

Practice location Address checks out

18209 Eula Mae Pkwy
Carlyle, IL 62231-6407
Phone: (618) 594-3671
Fax: (618) 594-8058
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070021292 (IL)

Record details

NPI number1750760260
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 29, 2015
Last updated in NPPESMay 29, 2015
Mailing address518 S Pleasant Ave, Centralia, IL 62801-4359

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Jeffrey A Schatz — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Carlyle