Individual provider Active NPI

Tyler Van Benschoten, PT, DPT

  • Physical Therapist
  • Teaneck, NJ
National Provider Identifier
1114576766
Registry record updated Feb 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01884500 Issued in NJ
Practice address
764 New Bridge Road
Units 4 & 5
Teaneck, NJ 07666-2227
Phone
(201) 256-3694
Fax
(201) 256-3682
NPI assigned
Sep 6, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2026

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 40QA01884500 NJ Primary

Addresses

Primary practice location

764 New Bridge Road
Units 4 & 5
Teaneck, NJ 07666-2227

Mailing address

764 New Bridge Road
Units 4 & 5
Teaneck, NJ 07666-2227
Phone (201) 256-3694

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191011000771 NJ Practitioner - Physical Therapist in Private Practice 5597096131 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

764 New Bridge Rd
Units 4 and 5
Teaneck, NJ 07666-2227
Phone (201) 256-3694

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Top Notch Performance LLC Physical Therapist CurrentSince Dec 21, 2025 Accepting new patients
Sportscare Institute, Inc. Physical Therapist PastSince Sep 5, 2019 Accepting new patients

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": "1567728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771113600000",
    "number": "1114576766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "764 NEW BRIDGE ROAD",
            "address_2": "UNITS 4 & 5",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076662227",
            "telephone_number": "201-256-3694",
            "fax_number": "201-256-3682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "764 NEW BRIDGE ROAD",
            "address_2": "UNITS 4 & 5",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076662227",
            "telephone_number": "201-256-3694",
            "fax_number": "201-256-3682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN BENSCHOTEN",
        "first_name": "TYLER",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-06",
        "last_updated": "2026-02-15",
        "certification_date": "2026-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01884500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2026; 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.