Individual provider Active NPI

Tyler Livesay

  • Physical Therapist
  • Sparta, TN
National Provider Identifier
1841942513
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
14035 Issued in TN
Practice address
550 N Spring St
Sparta, TN 38583-1330
Phone
(931) 837-2221
NPI assigned
Jan 24, 2022
Last updated
Apr 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 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 14035 TN Primary

Addresses

Primary practice location

550 N Spring St
Sparta, TN 38583-1330

Mailing address

550 N Spring St
Sparta, TN 38583-1330

Other practice location 1

1140 Perimeter Park Dr
Cookeville, TN 38501-0922
Phone (931) 526-2345

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220210000580 TN Practitioner - Physical Therapist in Private Practice 9335532571 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Results-Ast JV LLCGroup PAC ID 4486066396, 390 clinicians

Practice addresses (Care Compare)

851 S Willow Ave
Suite 110
Cookeville, TN 38501-4223
Phone (931) 528-0042

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14035TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland Rehabilitation Services LLC Physical Therapist CurrentSince Feb 5, 2024 Accepting new patients
Results-Ast JV, LLC Physical Therapist CurrentSince Feb 14, 2022 Accepting new patients
Putnam Physical Therapy Services, LLC Physical Therapist PastSince Oct 20, 2019 Accepting new patients
Larry H. Burks Physical Therapist PastSince Sep 17, 2012 Accepting new patients
Results-Ast JV, LLC Physical Therapist PastSince Aug 28, 2022 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

1227 N Washington Ave
Ste 106
Cookeville, TN 38501
Phone (931) 400-0724

851 S Willow Ave
Ste 110
Cookeville, TN 38501
Phone (931) 528-0042

851 S Willow Ave
Ste 114
Cookeville, TN 38501
Phone (931) 528-0042

2030 Cowan Hwy
Ste 1
Winchester, TN 37398
Phone (931) 968-1080

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1642982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1841942513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 N SPRING ST",
            "city": "SPARTA",
            "state": "TN",
            "postal_code": "385831330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 N SPRING ST",
            "city": "SPARTA",
            "state": "TN",
            "postal_code": "385831330",
            "telephone_number": "931-837-2221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1140 Perimeter Park Dr",
            "address_purpose": "LOCATION",
            "city": "Cookeville",
            "state": "TN",
            "postal_code": "385010922",
            "country_code": "US",
            "telephone_number": "931-526-2345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIVESAY",
        "first_name": "TYLER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-24",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "14035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparta, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.