Tyler Kent Stevenson, PT, DPT
NPI 1619663648ActiveIndividual· Physical Therapist· Grain Valley, MO
Physical Therapist (PT, DPT) in Grain Valley, Missouri, licensed in MO, with an NPI issued in April 2023. Medicare paid $22,386 for services to 252 patients in 2024.
Overview
| NPI | 1619663648 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT |
| Sole proprietor | No |
| NPI issued | Apr 13, 2023 |
| Last updated in NPPES | Jun 22, 2023 |
| Certified by provider | Jun 22, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 2023023129 | MO |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 252 |
|---|---|
| Services billed | 1,157 across 12 procedure codes |
| Paid by Medicare | $22,386 |
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All 20 physical therapists in Grain Valley · All physical therapists in Missouri