Tyre Artencia Patterson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

4065 N Haverhill Rd Ste B4
West Palm Beach, FL 33417-7439

Phone

(301) 676-4511

NPI assigned

Nov 5, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dynamic Duo PT LLCGroup PAC ID 8921491044, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Dynamic Duo PT LLC

  • Physical Therapist
  • West Palm Beach, FL
  • NPI 1457960551
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645142400000",
    "number": "1194121087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4065 N HAVERHILL RD STE B4",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334177439",
            "telephone_number": "561-563-4458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4065 N HAVERHILL RD STE B4",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334177439",
            "telephone_number": "301-676-4511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "TYRE",
        "middle_name": "ARTENCIA",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-05",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105248600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patrick Dennis DC PA
• Patriots Services LLC
• Latonya Deshon Patterson, PMHNP-BC, MSN/ED
• Marquevia Patterson
• Tamara Patterson
• Paul Acevedo MD PA
• Paul D Seltzer DO
• Paul R Liebman MD PA
• Ashli Paul
• Darnel Paul, BS

• Physical Therapist in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; 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.