Maryellen Lee Tighe

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

048331 Issued in NY

Practice address

604 Old Liverpool Rd Ste 2
Liverpool, NY 13088-6033

Phone

(315) 218-1451

Fax

(315) 451-1752

NPI assigned

Dec 11, 2021

Sex

Female

Sole proprietor

No

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 NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

State University of Ny Upstate Medical University, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Onondaga Physical Therapy, LLCGroup PAC ID 8325039365, 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Onondaga Physical Therapy, LLC

  • Physical Therapist
  • Cicero, NY
  • NPI 1225263536
  Medicare reassignment Care Compare group NPD
• Onondaga Physical Therapy

  • Physical Therapist
  • Wolcott, NY
  • NPI 1689931461
  NPD
• Onondaga Physical Therapy, LLC

  • Physical Therapist
  • Baldwinsville, NY
  • NPI 1548367139
  NPD
• Onondaga Physical Therapy, LLC

  • Physical Therapist
  • Syracuse, NY
  • NPI 1811094402
  NPD (past)

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

{
    "created_epoch": "1639180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639180800000",
    "number": "1407515091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 OLD LIVERPOOL RD STE 2",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130886033",
            "telephone_number": "315-218-1451",
            "fax_number": "315-451-1752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 OLD LIVERPOOL RD STE 2",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130886033",
            "telephone_number": "315-218-1451",
            "fax_number": "315-451-1752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIGHE",
        "first_name": "MARYELLEN",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-11",
        "last_updated": "2021-12-11",
        "certification_date": "2021-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "048331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allyson Thompson, DPT
• Cheryl Thompson
• Kennedy Hope Mastroleo Thompson
• Sara May Thompson, RN
• Thrive Chiropractic of Cny, PLLC
• Delaney Elizabeth Tillapaugh, DPT
• William Walter Tillapaugh
• Grace E Tily
• Frantzcesca Johanne Tingue, RN
• Todd Ray, LCSW, PLLC

• Physical Therapist in Liverpool, NY
• Providers in Liverpool, 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 Dec 11, 2021; 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.