Active NPI
Jillian Tyler, DPT
- Physical Therapist
- Columbia, SC
National Provider Identifier
1003510488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3720
- 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.
-
- Physical Therapist
- Lake City, SC
- NPI 1821474115
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
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 3720 | SC | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ih3 Physcial Therapy | Physical Therapist | Current | Accepting new patients |
| Pro-Motion Physical Therapy of Florence, SC, LLC | Physical Therapist | Current | 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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.