Individual provider Active NPI

Katlyn Tiver, DPT

  • Physical Therapist
  • Newark, DE
National Provider Identifier
1295139178
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
J1-0004140 Issued in DE
Practice address
774 Christiana Rd Ste 3
Newark, DE 19713-4219
Phone
(302) 368-4841
Fax
(302) 368-4843
NPI assigned
Oct 21, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X J1-0004140 DE Primary
Physical Therapist 225100000X 40QA01579000 NJ

Addresses

Primary practice location

774 Christiana Rd Ste 3
Newark, DE 19713-4219

Mailing address

1020 Kings Hwy N
Suite 108
Cherry Hill, NJ 08034-1906
Phone (856) 330-4360

Other practice location 1

1020 Kings Hwy N
Suite 108
Cherry Hill, NJ 08034-1906
Phone (856) 330-4360

Other names 1

  • Katlyn Dzurina Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200324002161 DE Practitioner - Physical Therapist in Private Practice 3072836899 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dynamic Therapy Services LLCGroup PAC ID 0749283083, 99 clinicians

Practice addresses (Care Compare)

774 Christiana Rd
Suite 3
Newark, DE 19713-4219
Phone (302) 368-4841

Merit-based Incentive Payment System (MIPS)

Final score
87.27 of 100Reported as group
Quality
85
Promoting interoperability
99
Improvement activities
40
Cost
73.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
J1-0004140DEMDPhysical Therapist
40QA01579000NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physiotherapy Associates Inc CurrentSince Jan 1, 2020 Accepting new patients
Dynamic Therapy Services LLC Physical Therapist CurrentSince Apr 12, 2021 Accepting new patients
Physiotherapy Associates, Inc. CurrentSince Jan 1, 2020 Accepting new patients
Dynamic Therapy Services, LLC Physical Therapist CurrentSince Apr 12, 2021 Accepting new patients
Rehabclinics SPT Inc Past Accepting new patients

Locations

256 Foxhunt Dr
Bear, DE 19701
Phone (302) 834-8650

128 Greentree Dr
Dover, DE 19904
Phone (302) 674-4192

774 Christiana Rd
Ste 3
Newark, DE 19713
Phone (302) 368-4841

350 New Fidelity Ct
Garner, NC 27529
Phone (919) 373-2919

Organizations & group practices 5

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": "1413849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1295139178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 KINGS HWY N",
            "address_2": "SUITE 108",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080341906",
            "telephone_number": "856-330-4360",
            "fax_number": "856-330-4281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "774 CHRISTIANA RD STE 3",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197134219",
            "telephone_number": "302-368-4841",
            "fax_number": "302-368-4843"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1020 Kings Hwy N",
            "address_2": "Suite 108",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080341906",
            "country_code": "US",
            "telephone_number": "856-330-4360",
            "fax_number": "856-330-4281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIVER",
        "first_name": "KATLYN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-21",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0004140",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01579000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATLYN",
            "last_name": "DZURINA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.