Tyler Vernon Sooknanan, DPT, CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

052886 Issued in NY

Practice address

78 Brookside Ave Ste 144
Chester, NY 10918-1060

Phone

(845) 469-2224

NPI assigned

Aug 26, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Access PT, OT, New York, PLLC

  • Physical Therapist
  • New City, NY
  • NPI 1831539493
  Medicare reassignment NPD
• Esd PT OT & SLP PLLC

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1003383308
  Medicare reassignment NPD
• Montefiore Medical Center

  • Anesthesiology Physician
  • Bronx, NY
  • NPI 1063525152
  Medicare reassignment NPD
• PT and OT for Senior Rehab at Home PLLC

  • Geriatric Physical Therapist
  • Brooklyn, NY
  • NPI 1811463003
  Medicare reassignment NPD
• Montefiore Medical Center

  • Community/Retail Pharmacy
  • Bronx, NY
  • NPI 1194183715
  NPD

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

{
    "created_epoch": "1724630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1346073111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 MAYBROOK RD STE L",
            "city": "CAMPBELL HALL",
            "state": "NY",
            "postal_code": "109162741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 BROOKSIDE AVE STE 144",
            "city": "CHESTER",
            "state": "NY",
            "postal_code": "109181060",
            "telephone_number": "845-469-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOOKNANAN",
        "first_name": "TYLER",
        "middle_name": "VERNON",
        "credential": "DPT, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-26",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "052886-01",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "052886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Zane Silverstein, LMHC
• Michaelle Simeon
• SM Marriage and Family Therapy LLP
• Sharon Smith
• Deeann Nancy Snyder
• William Murray Soroka, DDS
• Amanda Spiegl
• Laura Jean Stubecki, OTR/L
• Ann M Studer, DC
• Sugar Loaf Mental Wellness, LCSW, PLLC

• Physical Therapist in Chester, NY
• Providers in Chester, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.