Active NPIIndividual provider

Tyler Hannon, DPT

Physical Therapist in Millstone Township, New Jersey

NPI Number1174156368
Practice location
498 Monmouth RD Ste 3, Millstone Township, NJ 08510-1239
Fax
609-357-0027
Last updated
August 21, 2023

Tyler Hannon is a Physical Therapist based in Millstone Township, NJ. Tyler Hannon practices in Millstone Township, NJ and has the professional credentials of DPT. The NPI Number for Tyler Hannon is 1174156368 and holds a License No. PT028354 (PA). The current practice location address for Tyler Hannon is 498 Monmouth RD Ste 3, Millstone Township, NJ 08510-1239 and can be reached out via phone at 609-613-4811 and via fax at 609-357-0027.

Provider Profile Details

NPI Number
1174156368
Provider Name
Tyler Hannon
Credential
DPT
Provider Entity Type
Individual
Gender
Male
Address
498 Monmouth RD Ste 3, Millstone Township, NJ 08510-1239
Phone Number
609-613-4811
Fax Number
609-357-0027
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
February 17, 2020
Last Update Date
August 21, 2023
Certification Date
August 21, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
498 Monmouth RD Ste 3
Millstone Township, NJ 08510-1239
Zip
08510-1239
Phone Number
609-613-4811
Fax Number
609-357-0027
Millstone Township, NJ 08510Get directions →

Provider Business Mailing Address Details

Address
1311 Mamaroneck Ave Ste 140
White Plains, NY 10605-5224
City
White Plains
State
NY
Zip
10605-5224
Phone Number
914-294-4050
Fax Number
631-760-8306

License Information

License Number (1)
PT028354
License State (1)
PA
Taxonomy (1)
Physical Therapist · 225100000X
License Number (2)
40QA02146300
License State (2)
NJ
Taxonomy (2)
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Tyler Hannon, DPT?

The NPI number of Tyler Hannon, DPT is 1174156368. It was assigned on February 17, 2020 and is currently active in the NPPES registry.

What is the specialty of Tyler Hannon, DPT?

Tyler Hannon, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in PA under license number PT028354.

Where does Tyler Hannon, DPT practice?

The practice location is 498 Monmouth RD Ste 3, Millstone Township, NJ 08510-1239. The office can be reached at 609-613-4811 (phone) or 609-357-0027 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174156368 directly on the NPPES registry website.

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