Tyler Axelson, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

26231 Issued in MA

Practice address

2 Washington St
Melrose, MA 02176-6055

Phone

(781) 321-7000

NPI assigned

Aug 25, 2022

Last updated

Aug 25, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Massachusetts Medical and Physical Therapy Associates IncGroup PAC ID 3779525837, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Massachusetts Medical & Physical Therapy Associates Inc.

  dba Fitzgerald Physical Therapy Associates, Inc.

  • Rehabilitation Practitioner
  • Woburn, MA
  • NPI 1447259163
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1285353953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 HILLSIDE RD",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018455914",
            "telephone_number": "412-414-7949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 WASHINGTON ST",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021766055",
            "telephone_number": "781-321-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AXELSON",
        "first_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-25",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "26231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey L Arbetter, ED.D.
• Jason J Arruda, PHARM.D
• Courtney Michelle Moore Ashley
• Jana Tamer Attia, PHARMD
• Canan Avunduk, MD PHD
• Deepika Bagwe
• Kristen E Bakis Cook, PT
• Desola-Vasilisa Bamgbala, RN
• Kimberly Bennett Barad
• Chrysta Melanie Barbaro

• Physical Therapist in Melrose, MA
• Providers in Melrose, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.