Individual provider Active NPI

Taryn E. Chrysikos, DPT

  • Physical Therapist
  • Newton, MA
National Provider Identifier
1366055337
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
25043 Issued in MA
Practice address
244 Needham St
Newton, MA 02464-1595
Phone
(617) 641-6700
Fax
(617) 663-6032
NPI assigned
Aug 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 25043 MA
Physical Therapist 225100000X 25043 MA Primary

Addresses

Primary practice location

244 Needham St
Newton, MA 02464-1595

Mailing address

244 Needham St
Newton, MA 02464-1595
Phone (617) 641-6700

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
25043MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Paramount Performance and Rehab Inc Physical Therapist CurrentSince Nov 24, 2024 Accepting new patients

Locations

244 Needham St
Newton Upper Falls, MA 02464
Phone (617) 641-6700

Organizations & group practices 1

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": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1366055337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 NEEDHAM ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024641595",
            "telephone_number": "617-641-6700",
            "fax_number": "617-663-6032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 NEEDHAM ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024641595",
            "telephone_number": "617-641-6700",
            "fax_number": "617-663-6032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRYSIKOS",
        "first_name": "TARYN",
        "middle_name": "E.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-28",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MA",
            "license": "25043",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "25043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.