Justin Tyler, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT015685 Issued in GA

Practice address

4024 Lawrenceville Hwy NW Ste 19&20
Lilburn, GA 30047-2999

Phone

(770) 931-8686

NPI assigned

Jan 27, 2025

Sex

Male

Sole proprietor

Yes

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

Enrolled in GA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Matrix Rehabilitation-Georgia Inc

  • Physical Therapy Clinic/Center
  • McDonough, GA
  • NPI 1659302966
  Medicare reassignment NPD
• Matrix Rehabilitation-Georgia Inc

  • Physical Therapy Clinic/Center
  • McDonough, GA
  • NPI 1427089853
  NPD (past)

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

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1932911963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5380 GLADE PARK DR",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300472572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4024 LAWRENCEVILLE HWY NW STE 19&20",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300472999",
            "telephone_number": "770-931-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYLER",
        "first_name": "JUSTIN",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT015685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Turner Health LLC
• Charra Turner
• Christa Norris Turner, P.T.
• Loretta Turner
• Mashayla Jade Turner
• Kimberly Marie Hagan Ulrich, CCC-SLP
• Ultimate Urgent Care &Medical Clinic
• Chisorom Ume
• Unique Therapeutic Services
• United Rehab Inc.

• Physical Therapist in Lilburn, GA
• Providers in Lilburn, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.