MR. JAMES RANDOLPH JR. TILTON (PT) – Physical Therapist, NPI 1720007248

MR. JAMES RANDOLPH JR. TILTON (PT) is a healthcare provider. based in Ithaca, Michigan. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 5501008948 (MI). The NPI Number for MR. JAMES RANDOLPH JR. TILTON (PT) is 1720007248

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
MR. JAMES RANDOLPH JR. TILTON (PT)
NPI
1720007248
Phone
(989) 875-2266
Address
203 DILTS RD
Enumeration Date
18 July 2006
Last Update Date
1 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9898752266
Graduation Year
1997 (29 years ago)
PAC ID
8820075146
Group Practice PAC ID
3779879994
Professional Enrollment ID
I20040706000471
Address ID
MI488479475IT203XXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,459 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MI

Provider Addresses for MR. JAMES RANDOLPH JR. TILTON (PT)

  • 203, Dilts Road, Ithaca, Gratiot County, Michigan, 48847, United States

    ITHACA, MI 488479475

    Phone: (989) 875-2266

    Fax: (989) 875-2225

    Type: Mailing

  • 733 W Warwick Dr Unit A

    Alma, MI 488011115

    Phone: (989) 463-0345

    Fax: (989) 466-5472

    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: 2004-07-06

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
I20040706000471IPhysical Therapist In Private PracticeMITBD

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
97140Therapy procedure using manual technique, each 15 minutes27851$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes3620$0
View full utilization report →

Insurance plans in this area (ZIP 48847)

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Provider's Procedures

MR. JAMES RANDOLPH JR. TILTON (PT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYMI97001Physical therapy evaluation3332
PHYSICAL THERAPYMI97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes100062

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: 3779879994View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI

Reviews

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Frequently asked questions

What number should I use to identify MR. JAMES RANDOLPH JR. TILTON (PT) for billing?
Administrative and clinical systems typically use NPI 1720007248 for MR. JAMES RANDOLPH JR. TILTON (PT).
Is MR. JAMES RANDOLPH JR. TILTON (PT) currently accepting referrals based on NPI status?
Registry metadata lists MR. JAMES RANDOLPH JR. TILTON (PT) as active.
How should patients interpret MR. JAMES RANDOLPH JR. TILTON (PT)'s specialty?
The extract shows Physical Therapist for MR. JAMES RANDOLPH JR. TILTON (PT). Clinical services aligned with this taxonomy classification.
What geographic area is tied to MR. JAMES RANDOLPH JR. TILTON (PT)?
MR. JAMES RANDOLPH JR. TILTON (PT) is associated with Ithaca, Michigan in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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