Tyler Ian Davis – Physical Therapist in Grandview, MO

Key facts

NPI: 1780322693
Entity type: Individual (NPI type 1)
Primary specialty: Physical Therapist 225100000X
License: 2019019252 (MO)
Practice address: 12404 S US Highway 71
Grandview, MO 64030-1733
Phone: (816) 285-0194
NPI assigned: May 23, 2022
Sex: Male
Sole proprietor: No

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.

Athletico LTD Physical Therapist · Liberty, MO · NPI 1114449857

Medicare reassignment NPD MO · PHYSICAL THERAPIST
Activcare Physical Therapy, LLC Clinic/Center · Raleigh, NC · NPI 1548409626

Medicare reassignment NPD NC · PHYSICAL THERAPIST
Athletico LTD Physical Therapist · Oak Brook, IL · NPI 1821085028

Medicare reassignment NPD KS · PHYSICAL THERAPIST
Athletico LTD Clinic/Center · Lafayette, IN · NPI 1053044867

NPD PHYSICAL THERAPIST
Shawnee Mission Medical Center, Inc. Radiology Clinic/Center · Roeland Park, KS · NPI 1578178521

NPD (past)

Medicare Care Compare profile

Specialty: Physical Therapist in Private Practice
Education: Other, 2019
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Athletico LTD (2,187 clinicians)

Practice addresses (Care Compare)

12404 S US Hwy 71
Grandview, MO 64030-1733
Phone (816) 285-0194

141 S Parker St
Olathe, KS 66061-4043
Phone (913) 538-5453

210 N 7 Hwy
Athletico Physical Therapy
Blue Springs, MO 64014-2727
Phone (816) 655-2460

229 S Stewart Rd
Suite E 3
Liberty, MO 64068-4206
Phone (816) 656-3695

333 E Gregory Blvd
Athletico Physical Therapy
Kansas City, MO 64114-1123
Phone (816) 313-8899

4029 Mill St
Kansas City, MO 64111-3008
Phone (816) 285-0022

Medicare participation

Medicare fee-for-service enrollment: Enrolled (3 enrollments) in NC, KS, MO

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20240420000012	NC	Practitioner - Physical Therapist in Private Practice	3971942145	Reassigns benefits to 1 organization
I20250429001529	KS	Practitioner - Physical Therapist in Private Practice	3971942145	Reassigns benefits to 1 organization
I20250514002701	MO	Practitioner - Physical Therapist in Private Practice	3971942145	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
PT38748	FL	MD	Physical Therapist
P22812	NC	MD	Physical Therapist

Practice roles

Organization	Specialty	Status	New patients
Athletico LTD	Physical Therapist	Current	Accepting new patients
Activcare Physical Therapy, LLC	Physical Therapist	Current since Jan 22, 2024	Accepting new patients
Athletico LTD	Physical Therapist	Current since Mar 6, 2025	Accepting new patients
Athletico LTD	Physical Therapist	Current since Mar 6, 2025	Accepting new patients
Shawnee Mission Medical Center, Inc.		Past since May 1, 2022	Accepting new patients

Locations

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

141 S Parker St
Olathe, KS 66061
Phone (913) 538-5453

9544 Antioch Rd
Overland Park, KS 66212
Phone (913) 396-6756

12404 S US Highway 71
Grandview, MO 64030
Phone (816) 285-0194

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

1832 Wentzville Pkwy
Wentzville, MO 63385
Phone (636) 327-7110

166 Springbrook Ave
Ste 201
Clayton, NC 27520
Phone (919) 535-8461

350 New Fidelity Ct
Garner, NC 27529
Phone (919) 373-2919

2140 W Arlington Blvd
Ste B
Greenville, NC 27834
Phone (252) 565-4950

2140 W Arlington Blvd
Greenville, NC 27834
Phone (252) 355-5252

3410 Executive Dr
Ste 205
Raleigh, NC 27609
Phone (919) 322-0042

Interoperability endpoints

Direct secure messaging: tyler.davis.p12@direct.athleticoltd.nextgenshare.com
Direct secure messaging: tyler.davis.p9@direct.athleticoltd.nextgenshare.com
Direct secure messaging: tyler.davis.p2@direct.athleticoltd.nextgenshare.com

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physical Therapist	225100000X	PT38748	FL
Physical Therapist	225100000X	P22812	NC
Physical Therapist	225100000X	2019019252	MO	Yes

Addresses

Primary practice location

12404 S US Highway 71
Grandview, MO 64030-1733

Mailing address

2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone (630) 575-6200

Other practice location 1

2140 W Arlington Blvd Ste B
Greenville, NC 27834-5709
Phone (252) 565-4950

Other practice location 2

15315 W 67th St
Shawnee, KS 66217-9365
Phone (913) 632-4785

Other providers in Grandview, MO

All providers in Grandview, MO · Physical Therapist in Missouri

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2026. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Medicare Care Compare provider data (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.