IndividualActive
Jonathan Carlson, PT, DPT
NPI 1245022516 · Physical Therapist · Tyler, TX
Provider details
- NPI number
- 1245022516
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT, DPT
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1406779 (TX)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4025 S Broadway Ave
Tyler, TX 75701-8727
Phone: (903) 561-2690
Street-level locationGet directions
Mailing address
7790 County Road 2193 Apt 39
Whitehouse, TX 75791-9442
Registry dates
- Enumerated
- 2025-05-21
- Last updated
- 2025-05-21
- Certified
- 2025-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.