Individual provider Active NPI

Tyler Mentz

  • Physical Therapist
  • Millsboro, DE
National Provider Identifier
1053297192
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
J1-0015083 Issued in DE
Practice address
36932 Silicato Dr
Millsboro, DE 19966-5003
Phone
(302) 947-0781
NPI assigned
Aug 13, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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 J1-0015083 DE Primary

Addresses

Primary practice location

36932 Silicato Dr
Millsboro, DE 19966-5003

Mailing address

36932 Silicato Dr
Millsboro, DE 19966-5003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250915002192 DE Practitioner - Physical Therapist in Private Practice 5193228005 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

36932 Silicato Dr
Unit 5
Millsboro, DE 19966-5004
Phone (302) 947-1054

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
J1-0015083DEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabilitation Consultants, Inc. Current Accepting new patients
Rehabilitation Consultants, Inc. CurrentSince Aug 15, 2025 Accepting new patients

Locations

2 Lee Ave
Unit 103
Georgetown, DE 19947
Phone (302) 422-3100

36932 Silicato Dr
Unit 5
Millsboro, DE 19966
Phone (302) 947-0781

Organizations & group practices 2

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": "1755043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1053297192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36932 SILICATO DR",
            "city": "MILLSBORO",
            "state": "DE",
            "postal_code": "199665003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36932 SILICATO DR",
            "city": "MILLSBORO",
            "state": "DE",
            "postal_code": "199665003",
            "telephone_number": "302-947-0781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENTZ",
        "first_name": "TYLER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-13",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0015083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millsboro, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; 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.

Verify at the official NPI Registry.