Individual provider Active NPI

Tyler Difrancesco, MSPT

  • Physical Therapist
  • Dedham, MA
National Provider Identifier
1164038626
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0020379 Issued in CO
Practice address
460 Providence Hwy
Dedham, MA 02026-6815
Phone
(781) 381-5242
NPI assigned
Sep 21, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 12791 CT
Physical Therapist 225100000X PTL28030 MA
Physical Therapist 225100000X PTL.0020379 CO Primary

Addresses

Primary practice location

460 Providence Hwy
Dedham, MA 02026-6815

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (866) 370-8206

Other practice location 1

1 Bradley Rd Ste 801
Woodbridge, CT 06525-2296
Phone (203) 389-4593

Other practice location 2

11960 Lioness Way Ste 260
Parker, CO 80134-5640
Phone (303) 344-9090

Other practice location 3

1248 S Broadway
Denver, CO 80210-1504
Phone (720) 699-9095

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CO, WA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20241202000735 MA Practitioner - Physical Therapist in Private Practice 5092134510 Reassigns benefits to 1 organization
I20250227002598 CO Practitioner - Physical Therapist in Private Practice 5092134510 Reassigns benefits to 1 organization
I20260505001934 WA Practitioner - Physical Therapist in Private Practice 5092134510 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Centers of Colorado LLCGroup PAC ID 2365714540, 327 clinicians
Apple Physical Therapy LLCGroup PAC ID 7810892072, 285 clinicians

Practice addresses (Care Compare)

1248 S Broadway
Denver, CO 80210-1504
Phone (720) 699-9095

3912 10TH St SE
Suite 101
Puyallup, WA 98374-2188
Phone (253) 848-4700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12791CTMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Rehabilitation of Western New England LLC Physical Therapist CurrentSince Nov 18, 2024 Accepting new patients
Orthopedic Centers of Colorado, LLC Physical Therapist CurrentSince Mar 17, 2025 Accepting new patients
Orthopedic Centers of Colorado, LLC Physical Therapist CurrentSince Mar 17, 2025 Accepting new patients
Performance Rehabilitation of Western New England LLC Physical Therapist CurrentSince Nov 18, 2024 Accepting new patients
Foot & Ankle Physical Therapy & Rehab Medicine Physical Therapist PastSince Sep 23, 2020 Accepting new patients

Locations

6235 S Main St
Ste 101C
Aurora, CO 80016

1411 S Potomac St
Ste 350
Aurora, CO 80012
Phone (303) 671-2134

6235 S Main St
Ste C101
Aurora, CO 80016

1248 S Broadway
Denver, CO 80210
Phone (720) 699-9095

8101 E Lowry Blvd
Ste 120
Lowry, CO 80230
Phone (303) 806-1998

11960 Lioness Way
Ste 260
Parker, CO 80134
Phone (303) 214-4500

790 Remington Blvd
Bolingbrook, IL 60440

33377 Collection Ctr Dr
Chicago, IL 60693
Phone (617) 284-9418

101 University Dr
Ste A6
Amherst, MA 01002
Phone (413) 336-5703

460 Providence Hwy
Dedham, MA 02026
Phone (781) 237-5585

75 Spring St
#77
West Roxbury, MA 02132
Phone (617) 637-4640

75 Spring St
Unit 200
West Roxbury, MA 02132

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1164038626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "866-370-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 PROVIDENCE HWY",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020266815",
            "telephone_number": "781-381-5242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Bradley Rd Ste 801",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "CT",
            "postal_code": "065252296",
            "country_code": "US",
            "telephone_number": "203-389-4593",
            "fax_number": "203-389-4609",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11960 Lioness Way Ste 260",
            "address_purpose": "LOCATION",
            "city": "Parker",
            "state": "CO",
            "postal_code": "801345640",
            "country_code": "US",
            "telephone_number": "303-344-9090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1248 S Broadway",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802101504",
            "country_code": "US",
            "telephone_number": "720-699-9095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIFRANCESCO",
        "first_name": "TYLER",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-21",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "12791",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "PTL28030",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0020379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dedham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.