Individual provider Active NPI

Tyler Eisenbacher, PT, DPT

  • Physical Therapist
  • Tampa, FL
National Provider Identifier
1982262069
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT34674 Issued in FL
Practice address
4539 S Dale Mabry Hwy Ste 110
Tampa, FL 33611-1404
Phone
(813) 250-1208
Fax
(813) 250-1209
NPI assigned
Jun 3, 2019
Last updated
Aug 26, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 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 PT34674 FL Primary

Addresses

Primary practice location

4539 S Dale Mabry Hwy Ste 110
Tampa, FL 33611-1404

Mailing address

4539 S Dale Mabry Hwy Ste 110
Tampa, FL 33611-1404
Phone (813) 250-1208

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190828002306 FL Practitioner - Physical Therapist in Private Practice 8123356144 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT34674FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Rehabilitation, Inc. CurrentSince Jul 27, 2019 Accepting new patients
Advanced Rehabilitation Inc Physical Therapist PastSince Jul 27, 2019 Accepting new patients

Locations

13801 Bruce B Downs Blvd
Ste 303
Tampa, FL 33613
Phone (813) 979-4819

4539 S Dale Mabry Hwy
Ste 110
Tampa, FL 33611
Phone (813) 250-1208

4357 Lynx Paw Trl
Valrico, FL 33596
Phone (813) 250-1208

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 2

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": "1559520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1982262069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4539 S DALE MABRY HWY STE 110",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336111404",
            "telephone_number": "813-250-1208",
            "fax_number": "813-250-1209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4539 S DALE MABRY HWY STE 110",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336111404",
            "telephone_number": "813-250-1208",
            "fax_number": "813-250-1209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENBACHER",
        "first_name": "TYLER",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-03",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT34674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; 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.