Samantha Marie Tycz, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

052387-01 Issued in NY

Practice address

2099 Grand Island Blvd Ste B
Grand Island, NY 14072-2266

Phone

(716) 773-3300

NPI assigned

Aug 26, 2024

Sex

Female

Sole proprietor

Yes

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.

• Buffalo Rehab Group Physical Therapy and Occupational Therapy PC

  • Physical Therapist
  • West Seneca, NY
  • NPI 1548290943

  NY, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Grand Island Bodyworks Physical Therapy PLLC

  • Physical Therapist
  • Grand Island, NY
  • NPI 1619523636
  NPD

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Buffalo Rehab Group Physical Therapy and Occupational Therapy PC 79 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 26, 2024.

{
    "created_epoch": "1724630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1093548877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2147 BEDELL RD APT A",
            "city": "GRAND ISLAND",
            "state": "NY",
            "postal_code": "140721631",
            "telephone_number": "716-909-0744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2099 GRAND ISLAND BLVD STE B",
            "city": "GRAND ISLAND",
            "state": "NY",
            "postal_code": "140722266",
            "telephone_number": "716-773-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYCZ",
        "first_name": "SAMANTHA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-26",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "052387-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• TLC Staff Builders
• Tops Markets LLC
• Mary C Trenkle, LMT
• Lisa Zimmer Trunzo, PT
• Stephen Tusznio, DC
• United Nutrition & Dietetics, PLLC
• Lisa Pirrone Vanderbrook, M.S.
• Christine Marie Vanhouten
• Voncile Vanover, LPN
• Frances M Vanoyen

• All providers in Grand Island, NY
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.

Verify at the official NPI Registry.