Individual provider Active NPI

Tyler Eisenhardt

  • Physical Therapist
  • Farragut, TN
National Provider Identifier
1487561783
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
17411 Issued in TN
Practice address
153 Brooklawn St Ste 153
Farragut, TN 37934-2875
Phone
(865) 392-1033
Fax
(866) 591-0619
NPI assigned
Aug 25, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 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 17411 TN Primary

Addresses

Primary practice location

153 Brooklawn St Ste 153
Farragut, TN 37934-2875

Mailing address

4109 Mountain View Ave Ste 100
Chattanooga, TN 37415-2096
Phone (423) 842-9322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1787616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1487561783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4109 MOUNTAIN VIEW AVE STE 100",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374152096",
            "telephone_number": "423-842-9322",
            "fax_number": "866-591-0619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 BROOKLAWN ST STE 153",
            "city": "FARRAGUT",
            "state": "TN",
            "postal_code": "379342875",
            "telephone_number": "865-392-1033",
            "fax_number": "866-591-0619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENHARDT",
        "first_name": "TYLER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-08-25",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "17411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farragut, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.