TYLER MICHAEL MICHOT (PT, DPT) – Physical Therapist, NPI 1679391916

TYLER MICHAEL MICHOT (PT, DPT) is a healthcare provider. based in Melissa, Texas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 1374092 (TX). The NPI Number for TYLER MICHAEL MICHOT (PT, DPT) is 1679391916

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
TYLER MICHAEL MICHOT (PT, DPT)
NPI
1679391916
Phone
(318) 452-4514
Address
2815 DIAMONDBACK DR
Enumeration Date
26 September 2024
Last Update Date
10 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8177040477
Graduation Year
2023 (3 years ago)
PAC ID
6800306952
Group Practice PAC ID
1355453226
Professional Enrollment ID
I20250609001961
Address ID
TX760132270PA2650XDRXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness85
Years active:1State licenses:1Digital endpointsOther names

5,355 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TX

Provider Addresses for TYLER MICHAEL MICHOT (PT, DPT)

  • 2815 DIAMONDBACK DR

    MELISSA, TX 754540539

    Phone: (318) 452-4514

    Mailing address matches the actual address.

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: 2025-06-09

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
I20250609001961IPhysical Therapist In Private PracticeTXTBD

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 75454)

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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: 1355453226View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeCA
Physical Therapist In Private PracticeTX
Occupational Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX

Reviews

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Frequently asked questions

Is TYLER MICHAEL MICHOT (PT, DPT) listed with a National Provider Identifier?
Yes — TYLER MICHAEL MICHOT (PT, DPT) has NPI 1679391916 on file in the registry.
Is TYLER MICHAEL MICHOT (PT, DPT) still an active registrant?
TYLER MICHAEL MICHOT (PT, DPT) carries an active NPI according to the public dataset.
What clinical focus is listed for TYLER MICHAEL MICHOT (PT, DPT)?
At a glance, TYLER MICHAEL MICHOT (PT, DPT) is tied to Physical Therapist. Clinical services aligned with this taxonomy classification.
Is TYLER MICHAEL MICHOT (PT, DPT) located near Melissa?
TYLER MICHAEL MICHOT (PT, DPT) currently maps to Melissa, Texas in this extract.
Can I trust this NPI listing for TYLER MICHAEL MICHOT (PT, DPT)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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