Tyler Matthew Ardizzone, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA02208100 Issued in NJ

Practice address

285A Pascack Rd
Township of Washington, NJ 07676-4809

Phone

(201) 358-9200

NPI assigned

Sep 22, 2023

Sex

Male

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 NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Foundations Physical Therapy, LLCGroup PAC ID 7214151042, 10 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.

• Foundations Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Township of Washington, NJ
  • NPI 1477970150
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1695340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1427837145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 LOCKWOOD PL",
            "city": "PARK RIDGE",
            "state": "NJ",
            "postal_code": "076562508",
            "telephone_number": "201-835-8943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285A PASCACK RD",
            "city": "TOWNSHIP OF WASHINGTON",
            "state": "NJ",
            "postal_code": "076764809",
            "telephone_number": "201-358-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARDIZZONE",
        "first_name": "TYLER",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-22",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02208100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aah of Bergen County Inc
• Frank Chester Armstrong, A.T.,C
• Avance Therapeutic Leadership and Consultation Services LLC (Mental health Services)
• Avicenna Pain Treatment Group
• Bergen County Yjcc
• Bergen Geri-Psych Institute PC

• Physical Therapist in Township of Washington, NJ
• Providers in Township of Washington, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.