SKYLAR TUCKER (DPT) – Physical Therapist, NPI 1184506396

SKYLAR TUCKER (DPT) is a healthcare provider. based in Linton, Indiana. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 05016161A (IN). The NPI Number for SKYLAR TUCKER (DPT) is 1184506396

Main info

Female
Sole Proprietor
1 Year Of Experience
Accepts Medicare Assignment
Name
SKYLAR TUCKER (DPT)
NPI
1184506396
Phone
Not provided
Address
889 N 1375 W
Enumeration Date
21 July 2025
Last Update Date
26 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8434914937
Graduation Year
2025 (1 year ago)
PAC ID
8426554072
Group Practice PAC ID
8022370030
Professional Enrollment ID
I20251002000181
Address ID
SC295796706MY210XXBLVD401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness85
Years active:0State licenses:2Digital endpointsOther names

1,887 PHYSICAL THERAPIST IN PRIVATE PRACTICE in SC

Provider Addresses for SKYLAR TUCKER (DPT)

  • 889 N 1375 W

    LINTON, IN 474416513

    Phone:

    Type: Mailing

  • 210 VILLAGE CENTER BLVD STE 100

    MYRTLE BEACH, SC 295796706

    Phone: (843) 353-3460

    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: 2025-10-02

PECOS data refreshed: 2026-05-27

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
I20251002000181IPhysical Therapist In Private PracticeSCTBD

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 47441)

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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: 8022370030View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCA
Orthopedic SurgerySC
Anesthesiology, Pain ManagementSC
Physical Therapist In Private PracticeNY
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeKY
Hand SurgerySC
Physical Therapist In Private PracticeNC
-SC

Reviews

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Frequently asked questions

What identifier follows SKYLAR TUCKER (DPT) across health systems?
The NPI 1184506396 uniquely identifies SKYLAR TUCKER (DPT) in U.S. healthcare data.
Should I treat SKYLAR TUCKER (DPT) as an active provider?
Patients and plans typically see SKYLAR TUCKER (DPT) as active in the national extract.
What type of care does SKYLAR TUCKER (DPT) provide?
SKYLAR TUCKER (DPT)'s profile centers on Physical Therapist. Clinical services aligned with this taxonomy classification.
Is SKYLAR TUCKER (DPT) tied to Linton, Indiana?
If you are local to Linton, Indiana, SKYLAR TUCKER (DPT) may be relevant to your search.
Why is information missing for SKYLAR TUCKER (DPT)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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