Active NPI
Tyler John Ferrell, PT, DPT
- Physical Therapist
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2025007113
- Practice address
- 3726 S Kingshighway Blvd
Saint Louis, MO 63109-1800 - Phone
- (314) 351-7172
- NPI assigned
- Sep 13, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 12553 | TN | |
| Physical Therapist | 225100000X | 11-06378 | KS | |
| Physical Therapist | 225100000X | 63144 | OR | |
| Physical Therapist | 225100000X | 008274 | KY | |
| Physical Therapist | 225100000X | 13206 | AZ | |
| Physical Therapist | 225100000X | PT013939 | GA | |
| Physical Therapist | 225100000X | 2025007113 | MO | Primary |
Addresses
Primary practice location
3726 S Kingshighway Blvd
Saint Louis, MO 63109-1800
Mailing address
2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3726 S Kingshighway Blvd
Saint Louis, MO 63109-1800
Phone (314) 351-5150
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10204 | SC | MD | Professional Counselor |
| 2025007113 | MO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Independent Physical Therapy of Georgia, LLC | Physical Therapist | Past | Accepting new patients |
| Independent Physical Therapy of Georgia, LLC | Past | Accepting new patients |
Locations
2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250
229 S Stewart Rd
Ste E3
Liberty, MO 64068
Phone (816) 656-3695
2007 W Foxwood Dr
Ste D
Raymore, MO 64083
Phone (816) 265-8116
3726 S Kingshighway Blvd
Saint Louis, MO 63109
Phone (314) 351-5150
1832 Wentzville Pkwy
Wentzville, MO 63385
Phone (636) 327-7110
Interoperability endpoints
- tyler.ferrell.p2@direct.athleticoltd.nextgenshare.com
- tyler.ferrell.p1@direct.beaconortho.nextgenshare.com
Organizations & group practices 5
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
- Liberty, MO
- NPI 1114449857
-
- Physical Therapist
- Oak Brook, IL
- NPI 1821085028
-
- Physical Therapy Clinic/Center
- Monroe, GA
- NPI 1225462740
-
- Physical Therapist
- Fort Oglethorpe, GA
- NPI 1780636068
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775606400000",
"number": "1285153924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2122 YORK RD STE 300",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605231925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3726 S KINGSHIGHWAY BLVD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631091800",
"telephone_number": "314-351-7172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERRELL",
"first_name": "TYLER",
"middle_name": "JOHN",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-09-13",
"last_updated": "2026-04-08",
"certification_date": "2026-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "12553",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KS",
"license": "11-06378",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "63144",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "008274",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "13206",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT013939",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2025007113",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.