Active NPI
Tyler J Sartor, DPT
- Physical Therapist
- Boston, MA
National Provider Identifier
1093580128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 014239
- Practice address
- 313 Congress St
Boston, MA 02210-1218 - Phone
- (617) 790-4800
- NPI assigned
- Nov 20, 2023
- Sex
- Male
- 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 | 014239 | CT | Primary |
Addresses
Primary practice location
313 Congress St
Boston, MA 02210-1218
Mailing address
4 Old County Way
Portland, CT 06480-1050
Phone (860) 270-9508
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014239 | CT | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700438400000",
"number": "1093580128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 OLD COUNTY WAY",
"city": "PORTLAND",
"state": "CT",
"postal_code": "064801050",
"telephone_number": "860-270-9508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "313 CONGRESS ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "022101218",
"telephone_number": "617-790-4800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SARTOR",
"first_name": "TYLER",
"middle_name": "J",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-11-20",
"last_updated": "2023-11-20",
"certification_date": "2023-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "014239",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.