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DR. TYLER ROBERT PHILLIPS DC
NPI 1184470247
Chiropractor in State College, PA

Active since April 29, 2024
2746 W COLLEGE AVE # B175, STATE COLLEGE, PA 16801(814) 500-8504 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 15, 2026, Apr 29, 2024 (2 updates tracked since 2024).

About Dr. Tyler Robert Phillips Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TYLER ROBERT PHILLIPS DC (NPI 1184470247) is an individual chiropractor in State College, Pennsylvania, licensed in Pennsylvania (DC011922) and active in the NPI registry since April 2024. He is a graduate of Palmer College Chiropractic - Davenport (2024).

NPPES Registry Identity

NPI1184470247
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. TYLER ROBERT PHILLIPSCredential: DC
Location Address2746 W COLLEGE AVE # B175State College, PA 16801-4721
Mailing Address2746 W College Ave # B175State College, PA 16801-4721 · (814) 500-8504
Phone(814) 500-8504
Sole ProprietorYes
Medical School CMSPalmer College Chiropractic - DavenportGraduated 2024
Enumeration DateApril 29, 2024
Last NPPES UpdateApril 15, 20262 updates tracked since enumeration
NPPES CertifiedApril 15, 2026
✔ NPI 1184470247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in PA · DC011922
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
2746 W COLLEGE AVE # B175, State College, PA 16801
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tyler Robert Phillips Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5597296673
PECOS Enrollment IDI20240930003219

Medicare Billing Reassignment

Medicare enrollment records show Tyler Phillips reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gentle Impact Chiropractic PLLC
Same address
Chiropractor
2746 W COLLEGE AVE # B175
State College, PA 16801
  • Reassigned Medicare billing, Pennsylvania enrollment
NPI 1972348142 (814) 500-8504

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GENTLE IMPACT CHIROPRACTIC PLLC
Chiropractor
2746 W COLLEGE AVE # B175
STATE COLLEGE, PA 16801
Centre County (814) 500-8504

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tyler Phillips's NPI number?

The NPI number for Tyler Phillips is 1184470247. It was assigned to this individual provider in the NPPES registry on April 29, 2024.

Where is Tyler Phillips located?

Tyler Phillips practices at 2746 W College Ave # B175, State College, PA 16801. The listed phone number is (814) 500-8504.

What is Tyler Phillips's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Tyler Phillips enrolled in Medicare?

Yes. Tyler Phillips is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tyler Phillips's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tyler Phillips reassigns Medicare benefits to Gentle Impact Chiropractic PLLC (State College, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tyler Phillips's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tyler Phillips was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.