Individual provider Active NPI

Tyler Mok

  • Physical Therapist
  • Winter Garden, FL
National Provider Identifier
1548960552
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT40111 Issued in FL
Practice address
4040 Winter Garden Vineland Rd
Winter Garden, FL 34787-9502
Phone
(407) 573-3361
Fax
(407) 395-8309
NPI assigned
Mar 8, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 050009 NY
Physical Therapist 225100000X PT40111 FL Primary

Addresses

Primary practice location

4040 Winter Garden Vineland Rd
Winter Garden, FL 34787-9502

Mailing address

4040 Winter Garden Vineland Rd
Winter Garden, FL 34787-9502
Phone (407) 573-3361

Other practice location 1

711 S Hwy 27 Ste C
Clermont, FL 34711-2791
Phone (689) 244-6250

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250730001187 FL Practitioner - Physical Therapist in Private Practice 8022482355 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Touro Un Col of Osteopathic Medicine, New York, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unified Rehabilitation PLLCGroup PAC ID 4385984871, 11 clinicians
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

14215 W Colonial Dr
Winter Garden, FL 34787-4208
Phone (407) 614-8002

4040 Winter Garden Vineland Rd
Winter Garden, FL 34787-9502
Phone (407) 573-3361

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT40111FLMDPhysical Therapist
050009NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Unified Rehabilitation PLLC CurrentSince Jul 22, 2025 Accepting new patients
Orlando Health Medical Group Inc PastSince Apr 11, 2026 Accepting new patients
Orlando Health Medical Group Inc PastSince Apr 11, 2026 Accepting new patients

Locations

14215 W Colonial Dr
Winter Garden, FL 34787
Phone (407) 595-8962

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1678233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1548960552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 WINTER GARDEN VINELAND RD",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347879502",
            "telephone_number": "407-573-3361",
            "fax_number": "407-395-8309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 WINTER GARDEN VINELAND RD",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347879502",
            "telephone_number": "407-573-3361",
            "fax_number": "407-395-8309"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "711 S Hwy 27 Ste C",
            "address_purpose": "LOCATION",
            "city": "Clermont",
            "state": "FL",
            "postal_code": "347112791",
            "country_code": "US",
            "telephone_number": "689-244-6250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOK",
        "first_name": "TYLER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-08",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "050009",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT40111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Garden, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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.