Tyson S. Damitz, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05008972A Issued in IN

Practice address

8235 E 116TH St
Suite 220
Fishers, IN 46038-1534

Phone

(317) 813-2100

Fax

(317) 467-5701

NPI assigned

Aug 31, 2006

Last updated

Jul 26, 2012By 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 IN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2006

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.

• Damitz Physical Therapy LLC

  • Physical Therapist
  • Kokomo, IN
  • NPI 1104519818
  Medicare reassignment NPD Authorized official
• Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path

  • Physical Therapist
  • Peru, IN
  • NPI 1750764494
  Medicare reassignment NPD
• Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC

  • Physical Medicine & Rehabilitation Physician
  • New York, NY
  • NPI 1215637699
  NPD

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343260800000",
    "number": "1629180922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W WACKER DR",
            "address_2": "SUITE 1020",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606061216",
            "telephone_number": "312-640-0329",
            "fax_number": "312-640-0407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8235 E 116TH ST",
            "address_2": "SUITE 220",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460381534",
            "telephone_number": "317-813-2100",
            "fax_number": "317-467-5701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMITZ",
        "first_name": "TYSON",
        "middle_name": "S.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2012-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "99021235A",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05008972A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Schubbe Becker DDS PC (My Dental Care)
• Kelly Anne Dahlem, MA, CCC-SLP
• Samantha Daily, CNS
• Gabriella Dalton
• Vickie Dalton, PSYD
• Dominique Daniels
• Themen S. Danielson Jr., M.D.
• Jo-an Danner, BEHAVIOR TECHNICIAN
• Lea T Darido, LMHC
• Darlene Parnell LCSW Counseling Inc

• Physical Therapist in Fishers, IN
• Providers in Fishers, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2012; 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.