Tyler McCarthy, PT,DPT,CSCS,CES,PES
Individual provider Active NPI Sports Physical Therapist · Attleboro, MA
NPI 1508333741 · NPPES record last updated Aug 30, 2019
Key facts
- NPI
- 1508333741
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Sports Physical Therapist 2251S0007X
- License
- 23977 (MA)
- Practice address
- 48 Eddy St Unit 3
Attleboro, MA 02703-2406 - Phone
- (508) 313-9585
- NPI assigned
- Oct 25, 2018
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- LHMG Physical Therapy, LLC
Practice addresses (Care Compare)
4175 N Hanson Court
Suite 301
Bowie, MD 20716-3179
Phone (301) 805-7004
820 Ritchie Hwy
Suite 100
Severna Park, MD 21146-4111
Phone (443) 481-1140
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MD, DC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250515000709 | MD | Practitioner - Physical Therapist in Private Practice | 9335667294 | Reassigns benefits to 1 organization |
| I20250515001339 | DC | Practitioner - Physical Therapist in Private Practice | 9335667294 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23977 | MA | MD | Sports Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LHMG Physical Therapy, LLC | Physical Therapist | Current |
Accepting new patients |
| LHMG Physical Therapy, LLC | Physical Therapist | Current |
Accepting new patients |
| LHMG Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| LHMG Physical Therapy, LLC | Physical Therapist | Current |
Accepting new patients |
| Foredefi Athletic | Sports | Current |
Accepting new patients |
| LHMG Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Houghton Physical Therapy & Sports Conditioning, LLC | Physical Therapist | Past |
Accepting new patients |
Locations
48 Eddy St
Unit 3
Attleboro, MA 02703
Phone (508) 313-9585
2000 Medical Pkwy
Ste 409
Annapolis, MD 21401
Phone (443) 481-5136
4175 N Hanson Ct
Ste 301
Bowie, MD 20716
Phone (301) 805-0190
6836 Race Track Rd
Bowie, MD 20715
Phone (301) 805-7004
1630 Main St
Ste 109
Chester, MD 21619
Phone (410) 604-2424
28438 Marlboro Ave
Easton, MD 21601
Phone (410) 820-7270
8109 Ritchie Hwy
Ste 600
Pasadena, MD 21122
Phone (410) 553-3515
820 Ritchie Hwy
Ste 100
Severna Park, MD 21146
Phone (410) 544-6813
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 23977 | MA | |
| Sports Physical Therapist | 2251S0007X | 23977 | MA | Yes |
Addresses
Primary practice location
48 Eddy St Unit 3
Attleboro, MA 02703-2406
Mailing address
44 Vincent Rd
Attleboro, MA 02703-6844
Phone (774) 306-6141
NPI Registry JSON
{
"created_epoch": "1540425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567123200000",
"number": "1508333741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 VINCENT RD",
"city": "ATTLEBORO",
"state": "MA",
"postal_code": "027036844",
"telephone_number": "774-306-6141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "48 EDDY ST UNIT 3",
"city": "ATTLEBORO",
"state": "MA",
"postal_code": "027032406",
"telephone_number": "508-313-9585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCARTHY",
"first_name": "TYLER",
"name_prefix": "Dr.",
"credential": "PT,DPT,CSCS,CES,PES",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-10-25",
"last_updated": "2019-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "23977",
"primary": false
},
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "MA",
"license": "23977",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Attleboro, MA
- Jordyn Maxim
- Alyssa Emily Maxwell
- Renee Cecele Maxwell
- Madison Mayo
- Kelsey McCarthy
- Vivian D. McCoart
- Corey James McConnell
- Kathleen McCormack
- Lou McDonald
- Anne M McElwee
All providers in Attleboro, MA · Sports Physical Therapist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.