Tyler Austin Rolette, D.P.T.
Physical Therapist in Stroud, OK. Individual provider (NPI-1).
NPI number1386070530
StatusActive
Last updated in NPPESSep 19, 2013
Details
- NPI
- 1386070530
- Entity type
- Individual (NPI-1)
- Name
- Tyler Austin Rolette
- Credential
- D.P.T.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 19, 2013
- Last updated
- Sep 19, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 4708 | OK | Yes |
Practice location
356110 E 930 RdStroud, OK 74079-5184
Phone 918-968-9531 · Fax 918-968-1532
Mailing address
356110 E 930 RdStroud, OK 74079-5184
Phone 918-968-9531 · Fax 918-968-1532
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Physical Therapist providers in Stroud, OK
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All 9 Physical Therapist providers in Stroud · All 106 providers in Stroud
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