Individual provider Active NPI

Tyler Buege, PT

  • Physical Therapist
  • Aberdeen, MD
National Provider Identifier
1780629196
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
21531 Issued in MD
Practice address
4 N Parke St
Aberdeen, MD 21001-2436
Phone
(410) 297-8141
Fax
(410) 297-8142
NPI assigned
Jun 19, 2006
Last updated
Feb 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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 21531 MD Primary

Addresses

Primary practice location

4 N Parke St
Aberdeen, MD 21001-2436

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other identifiers 10

IdentifierTypeStateIssuer
5070-0095OtherGHMSI
646930-03OtherBCBS OF MARYLAND
P01033243OtherMDMEDICARE RAILROAD
2160584OtherACN
88760511OtherCARE FIRST
3530512000OtherIBC
7914198OtherAETNA
2160584OtherUHC
T208OtherBLUECHOICE/GHMSI
1780629196OtherCHAMPUS TRICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051022000252 MD Practitioner - Physical Therapist in Private Practice 6608892286 Reassigns benefits to 3 organizations
I20260106002056 DC Practitioner - Physical Therapist in Private Practice 6608892286 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstar Health Physical Therapy at Home LLCGroup PAC ID 7012379134, 15 clinicians
Ati Holdings, LLCGroup PAC ID 9537112719, 440 clinicians
Maryland Luna Care Physical Therapy LLCGroup PAC ID 4284017419, 123 clinicians

Practice addresses (Care Compare)

Columbia, MD 21044
Phone (301) 540-6140

137 W High St
3A Ati Physical Therapy
Elkton, MD 21921-8600
Phone (410) 392-7027

5425 Wisconsin Ave
Suite 600
Chevy Chase, MD 20815-3588
Phone (866) 525-3175

Merit-based Incentive Payment System (MIPS)

Final score
86.05 of 100Reported as group
Quality
89.12
Improvement activities
40
Cost
73.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21531MDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Luna Care Physical Therapy LLC Physical Therapist CurrentSince Nov 5, 2025 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Jun 9, 2008 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Jun 9, 2008 Accepting new patients
Medstar Health Physical Therapy at Home, LLC. Physical Therapist CurrentSince Nov 5, 2025 Accepting new patients
Medstar Health Physical Therapy at Home, LLC. Physical Therapist CurrentSince Nov 5, 2025 Accepting new patients
Maryland Sportscare & Rehab LLC Physical Therapist Past Accepting new patients

Locations

1812 Marsh Rd
Ste 505
Wilmington, DE 19810
Phone (302) 475-7500

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

4 N Parke St
Aberdeen, MD 21001
Phone (410) 297-8141

3465 Box Hill Corporate Center Dr
Ste G
Abingdon, MD 21009
Phone (410) 569-4806

3491 Merchants Blvd
Ste 108
Abingdon, MD 21009
Phone (443) 625-5370

2021A Emmorton Rd
Ste 110
Bel Air, MD 21015
Phone (410) 515-0006

225 Brierhill Dr
Ste A
Bel Air, MD 21015
Phone (667) 276-3093

1321 Riverside Pkwy
Ste A2
Belcamp, MD 21017
Phone (443) 327-7449

5425 Wisconsin Ave
Ste 600
Chevy Chase, MD 20815
Phone (202) 223-3077

10980 Grantchester Way
Columbia, MD 21044
Phone (410) 772-6500

137 W High St
Ste 3
Elkton, MD 21921
Phone (410) 392-7027

137 W High St
Ste 3A
Elkton, MD 21921
Phone (410) 392-7027

2315 Bel Air Rd
Ste C3
Fallston, MD 21047
Phone (443) 417-2499

1510 Rock Spring Rd
Ste C
Forest Hill, MD 21050
Phone (410) 420-3619

251 Lewis Ln
Ste 104
Havre de Grace, MD 21078
Phone (410) 939-8530

2314 Pulaski Hwy
#A
North East, MD 21901
Phone (410) 287-2940

4853 Pulaski Hwy
Ste 315
Perryville, MD 21903
Phone (443) 693-8000

52 Rising Sun Town Ctr
Rising Sun, MD 21911
Phone (410) 658-0100

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1780629196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 N PARKE ST",
            "city": "ABERDEEN",
            "state": "MD",
            "postal_code": "210012436",
            "telephone_number": "410-297-8141",
            "fax_number": "410-297-8142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUEGE",
        "first_name": "TYLER",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "21531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHMSI",
            "identifier": "5070-0095",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MARYLAND",
            "identifier": "646930-03",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P01033243",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN",
            "identifier": "2160584",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE FIRST",
            "identifier": "88760511",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IBC",
            "identifier": "3530512000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7914198",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "2160584",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECHOICE/GHMSI",
            "identifier": "T208",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS TRICARE",
            "identifier": "1780629196",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; 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.