Tyler Ian Davis
NPI 1780322693ActiveIndividual· Physical Therapist· Grandview, MO
Physical Therapist with Athletico Ltd, practicing in Grandview, Missouri. Medicare paid $28,626 for services to 47 patients in 2024.
Overview
| NPI | 1780322693 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | May 23, 2022 |
| Last updated in NPPES | Jan 6, 2026 |
| Certified by provider | Jan 6, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 2019019252 | MO |
| Physical Therapist | 225100000X | PT38748 | FL |
| Physical Therapist | 225100000X | P22812 | NC |
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 (KS); Practitioner - Physical Therapist in Private Practice (MO); Practitioner - Physical Therapist in Private Practice (NC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 47 |
|---|---|
| Services billed | 1,494 across 12 procedure codes |
| Paid by Medicare | $28,626 |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Athletico LtdOttawa, IL · 2,200 clinicians
Other physical therapists in Grandview
- 1194376004
- 1558408070
- 1912436627
- 1912692245
- 1154106748
- 1346721628
- 1679375984
- 1154253714
- 1124757133
- 1174771638
- 1891813663
- 1538389895
All 23 physical therapists in Grandview · All physical therapists in Missouri