Active NPI
Courtney Tylutki, DPT
- Physical Therapist
- Brick, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA02146100
- Practice address
- 457 Jack Martin Blvd
Brick, NJ 08724-7776 - Phone
- (732) 840-7500
- Fax
- (732) 840-2088
- NPI assigned
- Dec 19, 2022
- Last updated
- May 13, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA02146100 | NJ | Primary |
Addresses
Primary practice location
457 Jack Martin Blvd
Brick, NJ 08724-7776
Mailing address
457 Jack Martin Blvd
Brick, NJ 08724-7776
Phone (732) 840-7500
Other practice location 1
11 Eagle Rock Ave
East Hanover, NJ 07936-3167
Phone (973) 887-9000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
457 Jack Martin Blvd
Suite 1
Brick, NJ 08724-7776
Phone (732) 840-7500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthonj LLC | Current | Accepting new patients | |
| Attain Physical Therapy | Physical Therapist | Current | Accepting new patients |
| Orthonj LLC | Current | Accepting new patients | |
| Sportscare of America, PC | Physical Therapist | Current | Accepting new patients |
| United Sports Care & Physical Therapy | Physical Therapist | Current | Accepting new patients |
| Sportscare Institute, Inc. | Physical Therapist | Past | Accepting new patients |
Locations
47 S Washington Ave
Bergenfield, NJ 07621
Phone (201) 384-2525
1161 Burnt Tavern Rd
Brick, NJ 08724
Phone (732) 458-1255
457 Jack Martin Blvd
Brick, NJ 08724
Phone (732) 840-7500
457 Jack Martin Blvd
Ste 1
Brick, NJ 08724
Phone (732) 840-7500
197 Ridgedale Ave
Cedar Knolls, NJ 07927
Phone (973) 292-0700
11 Eagle Rock Ave
Ste 201
East Hanover, NJ 07936
1275 Bloomfield Ave
Ste 60
Fairfield, NJ 07004
2315 Route 34
Manasquan, NJ 08736
Phone (732) 974-0404
2444 Route 34
Ste A
Manasquan, NJ 08736
Phone (732) 292-4680
140 N Route 17
Ste 272
Paramus, NJ 07652
Phone (201) 261-4343
80 Oak Hill Rd
Red Bank, NJ 07701
Phone (732) 741-2313
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Physical Therapist
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- NPI 1609406438
-
- Physical Therapist
- East Hanover, NJ
- NPI 1851484380
-
- Occupational Therapist
- Cedar Knolls, NJ
- NPI 1972881233
Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Galloway, NJ
- NPI 1487448312
-
- Physical Therapist
- Toms River, NJ
- NPI 1275501074
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715558400000",
"number": "1053023382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "457 JACK MARTIN BLVD",
"city": "BRICK",
"state": "NJ",
"postal_code": "087247776",
"telephone_number": "732-840-7500",
"fax_number": "732-840-2088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "457 JACK MARTIN BLVD",
"city": "BRICK",
"state": "NJ",
"postal_code": "087247776",
"telephone_number": "732-840-7500",
"fax_number": "732-840-2088"
}
],
"practiceLocations": [
{
"address_1": "11 Eagle Rock Ave",
"address_purpose": "LOCATION",
"city": "East Hanover",
"state": "NJ",
"postal_code": "079363167",
"country_code": "US",
"telephone_number": "973-887-9000",
"fax_number": "973-887-3816",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TYLUTKI",
"first_name": "COURTNEY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-19",
"last_updated": "2024-05-13",
"certification_date": "2024-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA02146100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.