Active NPI
Tyler Nightingale
- Physical Therapist
- New York, NY
National Provider Identifier
1720511546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 041692-1
- Practice address
- 199 Mott St FRNT a
New York, NY 10012-4749 - Phone
- (212) 226-0400
- NPI assigned
- Apr 8, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3443 | NV | |
| Physical Therapist | 225100000X | 041692-1 | NY | Primary |
Addresses
Primary practice location
199 Mott St FRNT a
New York, NY 10012-4749
Mailing address
199 Mott St FRNT a
New York, NY 10012-4749
Phone (646) 600-9748
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041692-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775606400000",
"number": "1720511546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "199 MOTT ST FRNT A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100124749",
"telephone_number": "646-600-9748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "199 MOTT ST FRNT A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100124749",
"telephone_number": "212-226-0400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIGHTINGALE",
"first_name": "TYLER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-08",
"last_updated": "2026-04-08",
"certification_date": "2026-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "3443",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "041692-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.