Individual provider Active NPI

Maryann Tulyk, MSPT

  • Physical Therapist
  • Rochester, NY
National Provider Identifier
1689212383
Registry record updated Dec 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
028370-1 Issued in NY
Practice address
1555 Long Pond Rd
Golisano Restorative Neurology and Rehabilitation
Rochester, NY 14626
Phone
(585) 723-7507
Fax
(585) 368-3838
NPI assigned
Dec 13, 2019
Last updated
Dec 13, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 028370-1 NY Primary

Addresses

Primary practice location

1555 Long Pond Rd
Golisano Restorative Neurology and Rehabilitation
Rochester, NY 14626

Mailing address

13 Galwood Dr
Rochester, NY 14622-2155
Phone (585) 467-7384

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
028370-1NYMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1576195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576195200000",
    "number": "1689212383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 GALWOOD DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146222155",
            "telephone_number": "585-467-7384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 LONG POND RD",
            "address_2": "GOLISANO RESTORATIVE NEUROLOGY AND REHABILITATION",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14626",
            "telephone_number": "585-723-7507",
            "fax_number": "585-368-3838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TULYK",
        "first_name": "MARYANN",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-13",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "028370-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.