TYLER RANDOLPH (PT) – Physical Therapist, NPI 1457027732
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,870 PHYSICAL THERAPIST IN PRIVATE PRACTICE in GA
Provider Addresses for TYLER RANDOLPH (PT)
1160 HAMMOND DR
UNIT 163
SANDY SPRINGS, GA 303285490
Phone: (908) 528-6407
Type: Mailing
555 10TH ST NW
ATLANTA, GA 303185713
Phone: (404) 477-8888
Type: Location
PO BOX 306556
NASHVILLE, TN 372306556
Phone: (615) 329-2294
Fax: (615) 695-1494
Type: Mailing
77 BELINDA PARKWAY
MT JULIET, TN 371228592
Phone: (615) 695-1419
Fax: (615) 321-6226
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: 2023-12-28
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210914002625 | I | Physical Therapist In Private Practice | GA | TBD |
| I20231228000329 | I | Physical Therapist In Private Practice | TN | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30328)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | TN | |
| Physical Therapist In Private Practice | TN | |
| Physical Therapist In Private Practice | TN | |
| - | TN | |
| Physical Therapist In Private Practice | NC | |
| Physical Therapist In Private Practice | AK | |
| Physical Therapist In Private Practice | TN | |
| Physical Therapist In Private Practice | TN | |
| Physical Therapist In Private Practice | TN | |
| Physical Therapist In Private Practice | MS |
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