TYLER HANNON (DPT) – Physical Therapist, NPI 1174156368

TYLER HANNON (DPT) is a healthcare provider. based in Birmingham, Alabama. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PT028354 (PA). The NPI Number for TYLER HANNON (DPT) is 1174156368

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
TYLER HANNON (DPT)
NPI
1174156368
Phone
(423) 541-5490
Address
1200 CORPORATE DR STE 400
Enumeration Date
17 February 2020
Last Update Date
21 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6096134811
Graduation Year
2019 (7 years ago)
PAC ID
0840628574
Group Practice PAC ID
3476539776
Professional Enrollment ID
I20230720002245
Address ID
NJ085101239MI498XXRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:6State licenses:2Digital endpointsOther names

4,258 PHYSICAL THERAPIST IN PRIVATE PRACTICE in PA

Provider Addresses for TYLER HANNON (DPT)

  • 1200 CORPORATE DR STE 400

    BIRMINGHAM, AL 352425424

    Phone: (423) 541-5490

    Type: Mailing

  • 120 N BALTIMORE ST STE 110

    DILLSBURG, PA 170191212

    Phone: (717) 502-3100

    Type: Location

  • 1311 MAMARONECK AVE STE 140

    WHITE PLAINS, NY 106055224

    Phone: (914) 294-4050

    Fax: (631) 760-8306

    Type: Mailing

  • 498 MONMOUTH RD STE 3

    MILLSTONE TOWNSHIP, NJ 085101239

    Phone: (609) 613-4811

    Fax: (609) 357-0027

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-07-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200312000023IPhysical Therapist In Private PracticePATBD
I20230720002245IPhysical Therapist In Private PracticeNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes81341$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes72140$0
97140Therapy procedure using manual technique, each 15 minutes29536$0
97530Therapy procedure using functional activities21822$0
97150Therapy procedure in a group setting20418$0
View full utilization report →

Insurance plans in this area (ZIP 35242)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3476539776View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNJ
-NY
Occupational Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNJ
-NY
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNJ

Reviews

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Frequently asked questions

What identifier follows TYLER HANNON (DPT) across health systems?
The NPI 1174156368 uniquely identifies TYLER HANNON (DPT) in U.S. healthcare data.
Does the public listing show TYLER HANNON (DPT) as active?
TYLER HANNON (DPT)'s NPI record reflects an active status in NPPES.
What type of care does TYLER HANNON (DPT) provide?
TYLER HANNON (DPT)'s profile centers on Physical Therapist. Clinical services aligned with this taxonomy classification.
What city is tied to TYLER HANNON (DPT)?
The directory associates TYLER HANNON (DPT) with Birmingham, Alabama. Check all listed addresses for suites or satellite offices.
Why is information missing for TYLER HANNON (DPT)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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