TYLER MARTYN – Physical Therapist, NPI 1386406544

TYLER MARTYN is a healthcare provider. based in Oglesby, Illinois. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. The NPI Number for TYLER MARTYN is 1386406544

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
TYLER MARTYN
NPI
1386406544
Phone
(815) 252-2521
Address
2598 E 450TH RD
Enumeration Date
24 January 2024
Last Update Date
24 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8152234479
Graduation Year
2023 (3 years ago)
PAC ID
6709224066
Group Practice PAC ID
6901963164
Professional Enrollment ID
I20240404003764
Address ID
IL613543507PE1627XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:2State licenses:0Digital endpointsOther names

5,061 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IL

Provider Addresses for TYLER MARTYN

  • 2598 E 450TH RD

    OGLESBY, IL 613489715

    Phone: (815) 252-2521

    Type: Mailing

  • 1627 4TH ST

    PERU, IL 613543507

    Phone: (815) 223-4479

    Fax: (815) 223-4489

    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: 2024-04-04

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20240404003764IPhysical Therapist In Private PracticeILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61348)

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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: 6901963164View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL

Reviews

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Frequently asked questions

What NPI should I save for TYLER MARTYN?
Save NPI 1386406544 if you need a stable reference for TYLER MARTYN.
Does this profile mean TYLER MARTYN is currently active?
Yes — TYLER MARTYN appears active in the national provider directory.
What kind of provider is TYLER MARTYN?
The page reflects Physical Therapist for TYLER MARTYN. Clinical services aligned with this taxonomy classification.
Where does public data place TYLER MARTYN?
The snapshot lists Oglesby, Illinois for TYLER MARTYN; download NPPES for the complete set.
How can I contact TYLER MARTYN?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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