Tyler Randolph, PT
NPI 1457027732ActiveIndividual· Physical Therapist· Mt Juliet, TN
Physical Therapist (PT) in Mt Juliet, Tennessee, trained at Emory University School of Medicine (class of 2020). Medicare paid $16,408 for services to 51 patients in 2024.
Overview
| NPI | 1457027732 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT |
| Sole proprietor | No |
| NPI issued | Aug 18, 2021 |
| Last updated in NPPES | Jul 10, 2025 |
| Certified by provider | Jul 10, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 15319 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (GA); Practitioner - Physical Therapist in Private Practice (TN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 51 |
|---|---|
| Services billed | 765 across 7 procedure codes |
| Paid by Medicare | $16,408 |
Education and affiliations
| Medical school | Emory University School of Medicine |
|---|---|
| Graduation year | 2020 |
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Pittman Physical Therapy LLCCollierville, TN · 10 clinicians
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All 40 physical therapists in Mt Juliet · All physical therapists in Tennessee