Phillip Tyre

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

J1-0002563 Issued in DE

Practice address

24077 Country Living Road Suite 8
Millsboro, DE 19966

Phone

(302) 648-5060

Fax

(302) 316-3049

NPI assigned

Jul 6, 2006

Last updated

May 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tyre Physical Therapy and Performance LLCGroup PAC ID 0749679165, 4 clinicians

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.

• Tyre Physical Therapy & Performance, LLC

  • Physical Therapist
  • Millsboro, DE
  • NPI 1710560321
  Medicare reassignment Care Compare group NPD Authorized official
• Ati Holdings, LLC

  dba ATI Physical Therapy

  • Physical Therapy Clinic/Center
  • Rising Sun, MD
  • NPI 1396781050

  DE

  Medicare reassignment
• David Physical Therapy and Sports Medicine Center Inc.

  • Physical Therapist
  • Pittsburgh, PA
  • NPI 1003846825
  NPD (past)
• Tidewater Physical Therapy and Rehabilitation Associates, P.a.

  • Physical Therapist
  • Easton, MD
  • NPI 1730263302
  NPD (past)
• W James Downs Jr PT PA

  dba Tidewater Electromyography

  • Clinical Electrophysiology Physical Therapist
  • Easton, MD
  • NPI 1356425938
  NPD (past)

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683417600000",
    "number": "1548292311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24077 COUNTRY LIVING ROAD SUITE 8",
            "city": "MILLSBORO",
            "state": "DE",
            "postal_code": "19966",
            "telephone_number": "302-648-5060",
            "fax_number": "302-316-3049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24077 COUNTRY LIVING ROAD SUITE 8",
            "city": "MILLSBORO",
            "state": "DE",
            "postal_code": "19966",
            "telephone_number": "302-648-5060",
            "fax_number": "302-316-3049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9833 Barrett Road",
            "address_purpose": "LOCATION",
            "city": "Berlin",
            "state": "MD",
            "postal_code": "218111157",
            "country_code": "US",
            "telephone_number": "302-648-5060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "28410Crown Road Suite104",
            "address_purpose": "LOCATION",
            "city": "Fruitland",
            "state": "MD",
            "postal_code": "218261157",
            "country_code": "US",
            "telephone_number": "302-648-5060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TYRE",
        "first_name": "PHILLIP",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2023-05-07",
        "certification_date": "2023-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0002563",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT018143",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Baylee Turetzky, DPT
• Danshanara L Turlington
• Anita L Tyndall, FNP-C
• Tyre Physical Therapy & Performance, LLC
• Natalie A Tyre, PA-C
• Karen Vanderhook
• Thomas F Vandrunen, LPCMH
• Vargas Nino Healthcare LLC
• Marsha Vaughn
• Regidor Adriano Verzosa, P.T.

• Physical Therapist in Millsboro, DE
• Providers in Millsboro, DE by specialty
• Physical Therapist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.