Healthcare Provider Details

I. General information

NPI: 1962337170
Provider Name (Legal Business Name): TYLER AUSTIN PRICHARD DPT, PT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 HOLLY SPRINGS PARK DR
FRANKLIN NC
28734-0719
US

IV. Provider business mailing address

125 LONNIE GENTRY RD
ROXBORO NC
27574-8027
US

V. Phone/Fax

Practice location:
  • Phone: 828-369-6380
  • Fax:
Mailing address:
  • Phone: 828-586-5531
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberP24930
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: