Tyler Mack, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501304578 Issued in MI

Practice address

26850 Providence Pkwy Ste 410
Novi, MI 48374-1263

Phone

(248) 468-4796

Fax

(248) 468-4793

NPI assigned

Jul 27, 2026

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1785110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1932021581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26850 PROVIDENCE PKWY STE 410",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483741263",
            "telephone_number": "248-468-4796",
            "fax_number": "248-468-4793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26850 PROVIDENCE PKWY STE 410",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483741263",
            "telephone_number": "248-468-4796",
            "fax_number": "248-468-4793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACK",
        "first_name": "TYLER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-07-27",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501304578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krystal Macias
• Samuel Macias II
• Angela Mack
• Leah Mack
• Miranda Z Mack
• Brittany M Mackie
• Anna Macmillan
• Bridget Esther Macmillan
• Kelsey Susan Macneill
• Macomb Primary Care, P.C.

• Physical Therapist in Novi, MI
• Providers in Novi, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.