Active NPIIndividual provider

Tyler J Smith, PT

Physical Therapist in Medfield, Massachusetts

NPI Number1851306153
Practice location
2 Icehouse RD, Medfield, MA 02052-1555
Fax
508-242-9489
Last updated
December 4, 2017

Tyler J Smith is a Physical Therapist based in Medfield, MA. Tyler J Smith practices in Medfield, MA and has the professional credentials of PT. The NPI Number for Tyler J Smith is 1851306153 and holds a License No. 0400003612 (VT). The current practice location address for Tyler J Smith is 2 Icehouse RD, Medfield, MA 02052-1555 and can be reached out via phone at 508-242-9478 and via fax at 508-242-9489.

Provider Profile Details

NPI Number
1851306153
Provider Name
Tyler J Smith
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
2 Icehouse RD, Medfield, MA 02052-1555
Phone Number
508-242-9478
Fax Number
508-242-9489
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
July 29, 2006
Last Update Date
December 4, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
2 Icehouse RD
Medfield, MA 02052-1555
Zip
02052-1555
Phone Number
508-242-9478
Fax Number
508-242-9489
Medfield, MA 02052Get directions →

Provider Business Mailing Address Details

Address
790 Remington Blvd
Bolingbrook, IL 60440-4909
City
Bolingbrook
State
IL
Zip
60440-4909
Phone Number
630-296-2222
Fax Number
630-759-9510

License Information

License Number (1)
0400003612
License State (1)
VT
Taxonomy (1)
Physical Therapist · 225100000X
License Number (2)
11612
License State (2)
MA
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 J Smith, PT?

The NPI number of Tyler J Smith, PT is 1851306153. It was assigned on July 29, 2006 and is currently active in the NPPES registry.

What is the specialty of Tyler J Smith, PT?

Tyler J Smith, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in VT under license number 0400003612.

Where does Tyler J Smith, PT practice?

The practice location is 2 Icehouse RD, Medfield, MA 02052-1555. The office can be reached at 508-242-9478 (phone) or 508-242-9489 (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 1851306153 directly on the NPPES registry website.

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