Individual provider Active NPI

Tylene Lizardi, PT, DPT

  • Physical Therapist
  • New Paltz, NY
National Provider Identifier
1033498985
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0304661 Issued in NY
Practice address
100 Woodland Pond Cir
New Paltz, NY 12561-6405
Phone
(845) 256-5955
NPI assigned
Aug 10, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 0304661 NY Primary

Addresses

Primary practice location

100 Woodland Pond Cir
New Paltz, NY 12561-6405

Mailing address

126 Main St Ste 2B
New Paltz, NY 12561-1525
Phone (845) 663-7427

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.38 of 100Reported as group
Quality
63.01
Promoting interoperability
98
Improvement activities
40
Cost
72.3

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0304661NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Monarch Physical Therapy, PLLC Physical Therapist CurrentSince Apr 9, 2024 Accepting new patients

Locations

126 Main St
Ste 2B
New Paltz, NY 12561
Phone (845) 663-7427

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1312934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1033498985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 MAIN ST STE 2B",
            "city": "NEW PALTZ",
            "state": "NY",
            "postal_code": "125611525",
            "telephone_number": "845-663-7427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WOODLAND POND CIR",
            "city": "NEW PALTZ",
            "state": "NY",
            "postal_code": "125616405",
            "telephone_number": "845-256-5955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIZARDI",
        "first_name": "TYLENE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-10",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0304661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Paltz, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.