Active NPIIndividual provider

Tyler V Sooknanan, DPT, CSCS

Physical Therapist in Chester, New York

NPI Number1346073111
Practice location
78 Brookside Ave Ste 144, Chester, NY 10918-1060
Fax
—
Last updated
May 21, 2025

Tyler Vernon Sooknanan is a Physical Therapist based in Chester, NY. Tyler Vernon Sooknanan practices in Chester, NY and has the professional credentials of DPT, CSCS. The NPI Number for Tyler Vernon Sooknanan is 1346073111 and holds a License No. 052886-01 (NY). The current practice location address for Tyler Vernon Sooknanan is 78 Brookside Ave Ste 144, Chester, NY 10918-1060 and can be reached out via phone at 845-469-2224.

Provider Profile Details

NPI Number
1346073111
Provider Name
Tyler Vernon Sooknanan
Credential
DPT, CSCS
Provider Entity Type
Individual
Gender
Male
Address
78 Brookside Ave Ste 144, Chester, NY 10918-1060
Phone Number
845-469-2224
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
August 26, 2024
Last Update Date
May 21, 2025
Certification Date
May 21, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
78 Brookside Ave Ste 144
Chester, NY 10918-1060
Zip
10918-1060
Phone Number
845-469-2224
Chester, NY 10918Get directions →

Provider Business Mailing Address Details

Address
16 Maybrook RD Ste L
Campbell Hall, NY 10916-2741
City
Campbell Hall
State
NY
Zip
10916-2741

License Information

License Number (1)
052886-01
License State (1)
NY
Taxonomy (1)
Physical Therapist · 225100000X
License Number (2)
052886
License State (2)
NY
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 V Sooknanan, DPT, CSCS?

The NPI number of Tyler V Sooknanan, DPT, CSCS is 1346073111. It was assigned on August 26, 2024 and is currently active in the NPPES registry.

What is the specialty of Tyler V Sooknanan, DPT, CSCS?

Tyler V Sooknanan, DPT, CSCS is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NY under license number 052886-01.

Where does Tyler V Sooknanan, DPT, CSCS practice?

The practice location is 78 Brookside Ave Ste 144, Chester, NY 10918-1060. The office can be reached at 845-469-2224 (phone).

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 1346073111 directly on the NPPES registry website.

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