Healthcare Provider Details

I. General information

NPI: 1114051471
Provider Name (Legal Business Name): TYLER JAMES SEXSON DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/16/2007
Last Update Date: 10/07/2025
Certification Date: 10/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

624 W LEOTA ST
NORTH PLATTE NE
69101-6532
US

IV. Provider business mailing address

624 W LEOTA ST
NORTH PLATTE NE
69101-6532
US

V. Phone/Fax

Practice location:
  • Phone: 308-534-5590
  • Fax: 308-534-5570
Mailing address:
  • Phone: 308-534-5590
  • Fax: 308-534-5570

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2357
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: