Individual provider Active NPI

Jillian Tyler, DPT

  • Physical Therapist
  • Columbia, SC
National Provider Identifier
1003510488
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3720 Issued in SC
Practice address
4420 Rosewood Dr
Columbia, SC 29209-2629
Phone
(843) 374-0185
Fax
(843) 374-0189
NPI assigned
Mar 29, 2023
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pro-Motion Physical Therapy of Florence SC LLC 18 clinicians

Practice addresses (Care Compare)

610 W Palmetto St
Florence, SC 29501-4302
Phone (843) 407-0377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260413002208 SC Practitioner - Physical Therapist in Private Practice 9537634936 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3720SCMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ih3 Physcial Therapy Physical Therapist CurrentSince Jan 1, 2026 Accepting new patients
Pro-Motion Physical Therapy of Florence, SC, LLC Physical Therapist CurrentSince Sep 14, 2015 Accepting new patients

Locations

4420 Rosewood Dr
Columbia, SC 29209
Phone (803) 233-1366

610 W Palmetto St
Florence, SC 29501
Phone (843) 407-0377

148 Sauls St
Ste B
Lake City, SC 29560
Phone (843) 374-0185

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 3720 SC Primary

Addresses

Primary practice location

4420 Rosewood Dr
Columbia, SC 29209-2629

Mailing address

PO Box 6526
Columbia, SC 29260-6526
Phone (843) 374-0185

NPI Registry JSON

The complete record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1680048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1003510488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6526",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292606526",
            "telephone_number": "843-374-0185",
            "fax_number": "843-374-0189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4420 ROSEWOOD DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292092629",
            "telephone_number": "843-374-0185",
            "fax_number": "843-374-0189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYLER",
        "first_name": "JILLIAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-29",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "3720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.