MEDICARE: JAMES TYLER MINTON PT, DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT44661	FL

General Provider Information

NPI Number	:	1528903424
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES TYLER MINTON PT, DPT

Provider Business Mailing Address
First Line	:	4215 W NORTH A ST UNIT 5
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33609-2567
Country	:	US
Telephone Number	:	724-809-1047
Fax Number	:

Provider Business Practice Location Address
First Line	:	3450 E LAKE RD STE 101
Second Line	:
City	:	PALM HARBOR
State	:	FL
Zip	:	34685-2411
Country	:	US
Telephone Number	:	727-781-1223
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/20/2026
Last Update Date	:	05/13/2026

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