Active NPI
Janine Tyrer, PT
- Physical Therapist
- Northport, NY
National Provider Identifier
1235448556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 019828-1
- Practice address
- 151 Old Winkle Point Rd
Northport, NY 11768-1162 - Phone
- (631) 754-1098
- NPI assigned
- Oct 4, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | 019828-1 | NY | Primary |
Addresses
Primary practice location
151 Old Winkle Point Rd
Northport, NY 11768-1162
Mailing address
151 Old Winkle Point Rd
Northport, NY 11768-1162
Phone (631) 754-1098
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 |
|---|---|---|---|
| 019828-1 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Island Sports Physiotherapy, PC | Past | Accepting new patients | |
| Island Sports Physiotherapy, PC | Past | 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.
-
- Physical Therapy Clinic/Center
- East Northport, NY
- NPI 1366482408
-
- Physical Therapy Clinic/Center
- Huntington Station, NY
- NPI 1558300202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286150400000",
"number": "1235448556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 OLD WINKLE POINT RD",
"city": "NORTHPORT",
"state": "NY",
"postal_code": "117681162",
"telephone_number": "631-754-1098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 OLD WINKLE POINT RD",
"city": "NORTHPORT",
"state": "NY",
"postal_code": "117681162",
"telephone_number": "631-754-1098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TYRER",
"first_name": "JANINE",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-04",
"last_updated": "2010-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "019828-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.