Boyd Dyer, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

17529 Issued in NY

Practice address

6 Stafford Dr
Huntingtn Sta, NY 11746-4514

Phone

(631) 697-9578

Fax

(165) 301-9435

NPI assigned

May 25, 2006

Last updated

Mar 17, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Platinum Physical Therapy Services LLC

  • Physical Therapist
  • Huntingtn Sta, NY
  • NPI 1336449800
  NPD Authorized official

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1457307159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 STAFFORD DR",
            "city": "HUNTINGTN STA",
            "state": "NY",
            "postal_code": "117464514",
            "telephone_number": "631-697-9578",
            "fax_number": "516-530-1943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 STAFFORD DR",
            "city": "HUNTINGTN STA",
            "state": "NY",
            "postal_code": "117464514",
            "telephone_number": "631-697-9578",
            "fax_number": "165-301-9435"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 Stafford Dr",
            "address_purpose": "LOCATION",
            "city": "Huntingtn Sta",
            "state": "NY",
            "postal_code": "117464514",
            "country_code": "US",
            "telephone_number": "631-697-9578",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DYER",
        "first_name": "BOYD",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "17529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A Path for You Mental Health Counseling, P.C. (Cornerstone Counselors Mental Healthcare)
• Emely Alfaro Benitez
• Island Joints, Inc.
• Narinder Pal Kaur, RN
• Kelly A Lizewski, KELLY LIZEWSKI D.C.
• Didena S Marseille, REGISTERED NURSE
• Mary F. Didio, DC, PC

• Physical Therapist in Huntingtn Sta, NY
• Providers in Huntingtn Sta, 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 Mar 17, 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.