Individual provider Active NPI

Tyler James O'Toole, PT

  • Physical Therapist
  • Trenton, GA
National Provider Identifier
1730856725
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP055584T Issued in GA
Practice address
5395 Highway 136
Trenton, GA 30752-2900
Phone
(706) 657-3035
NPI assigned
Aug 26, 2021
Last updated
Apr 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CP017502T CO
Physical Therapist 225100000X 2305214615 VA
Physical Therapist 225100000X CP055584T GA Primary

Addresses

Primary practice location

5395 Highway 136
Trenton, GA 30752-2900

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 702-4389

Other practice location 1

1280 Village Rd Ste 324C
Avon, CO 81620-5374
Phone (970) 476-2451

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address VVMC.DIRECT@direct.vvmc.com Health Information Exchange (HIE) Vail Clinic, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, CO, GA4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20210910000436 DC Practitioner - Physical Therapist in Private Practice 0941606347 Reassigns benefits to 1 organization
I20210910001018 VA Practitioner - Physical Therapist in Private Practice 0941606347 Reassigns benefits to 1 organization
I20240321002988 CO Practitioner - Physical Therapist in Private Practice 0941606347 Reassigns benefits to 1 organization
I20260527003653 GA Practitioner - Physical Therapist in Private Practice 0941606347 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5395 Hwy 136
Trenton, GA 30752-2900
Phone (706) 657-3035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP017502TCOMDPhysical Therapist
CP055584TGAMDPhysical Therapist
2305214615VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vail Clinic Inc CurrentSince Dec 1, 2024 Accepting new patients
Jackson Clinics Limited Partnership Physical Therapist CurrentSince Aug 31, 2021 Accepting new patients
Vail Clinic, Inc. CurrentSince Dec 1, 2024 Accepting new patients
Vail Clinic, Inc. Current Accepting new patients
Select Physical Therapy Holdings Inc Past Accepting new patients
Select Physical Therapy of West Denver Limited Partnership PastSince Aug 18, 2019 Accepting new patients
Theraphysics Partners of Colorado, Inc. PastSince Aug 1, 2018 Accepting new patients
Berkana Rehabilitation, PLLC Physical Therapist Past Accepting new patients
Physiotherapy Associates Inc PastSince Jan 1, 2023 Accepting new patients
Physiotherapy Associates Inc PastSince Jan 1, 2023 Accepting new patients
Select Physical Therapy of West Denver Limited Partnership PastSince Oct 1, 2019 Accepting new patients
Select Physical Therapy of West Denver Limited Partnership Past Accepting new patients
Physiotherapy Associates Inc Past Accepting new patients

Locations

1280 Village Rd
#324C
Beaver Creek, CO 81620
Phone (970) 949-0800

320 Beard Creek Rd
Ste 1100
Edwards, CO 81632
Phone (970) 569-7770

181 W Meadow Dr
Vail, CO 81657
Phone (970) 476-1225

181 W Meadow Dr
Ste 100
Vail, CO 81657
Phone (970) 476-8872

24560 Southpoint Dr
Ste 250
Aldie, VA 20105
Phone (571) 370-3686

43490 Yukon Dr
Ashburn, VA 20147
Phone (703) 729-7920

10517 Braddock Rd
Ste D
Fairfax, VA 22032
Phone (571) 351-5618

12701 Fair Lakes Cir
Ste 102
Fairfax, VA 22033

Interoperability endpoints

  • Direct secure messaging: vvmc.direct@direct.vvmc.com

Organizations & group practices 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1730856725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-702-4389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5395 HIGHWAY 136",
            "city": "TRENTON",
            "state": "GA",
            "postal_code": "307522900",
            "telephone_number": "706-657-3035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1280 Village Rd Ste 324C",
            "address_purpose": "LOCATION",
            "city": "Avon",
            "state": "CO",
            "postal_code": "816205374",
            "country_code": "US",
            "telephone_number": "970-476-2451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'TOOLE",
        "first_name": "TYLER",
        "middle_name": "JAMES",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-26",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "CP017502T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305214615",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "CP055584T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "VVMC.DIRECT@direct.vvmc.com",
            "affiliation": "Y",
            "affiliationName": "Vail Clinic, Inc.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "181 W Meadow Dr",
            "city": "Vail",
            "state": "CO",
            "country_code": "US",
            "postal_code": "816575242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Trenton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.