Jackson Tyler, DPT
NPI 1518411818 · Physical Therapist · Charleston, SC
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jackson Tyler, DPT is a Physical Therapist provider in Charleston, SC (NPI 1518411818).
Provider details
- NPI number
- 1518411818
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- License
- 8153 (SC)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
Mailing address
Additional practice locations (2)
- 4105 Briargate Pkwy Ste 300Colorado Springs, CO 80920-3487Phone: (719) 571-8888Fax: (719) 571-8889
- 17230 Jackson Creek Pkwy Ste 170Monument, CO 80132-7303Phone: (719) 571-7080Fax: (719) 571-7089
Registry dates
- Enumerated
- 2016-08-04
- Last updated
- 2022-01-06
- Certified
- 2022-01-06
Frequently asked questions
- What is Jackson Tyler's NPI number?
- Jackson Tyler's National Provider Identifier (NPI) is 1518411818, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jackson Tyler's specialty?
- Jackson Tyler is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Jackson Tyler located?
- Jackson Tyler's practice location on file with NPPES is 445 Savannah Hwy, Charleston, SC 29407.
- What is Jackson Tyler's phone number?
- The practice phone number listed in the NPPES registry for Jackson Tyler is (843) 766-2121.
- Does Jackson Tyler accept Medicare?
- Jackson Tyler is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jackson Tyler's NPI active?
- Yes — Jackson Tyler's NPI (1518411818) is active in the NPPES registry as of the last update on 2022-01-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.