Tyrone Richard Delmonico, MSPT
Individual provider Active NPI Physical Therapist · Hilton Head, SC
NPI 1790720571 · NPPES record last updated Mar 27, 2013
Key facts
- NPI
- 1790720571
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 4665 (SC)
- Practice address
- 95 Mathews Dr
Ste D5
Hilton Head, SC 29926-3734 - Phone
- (843) 681-5640
- Fax
- (843) 681-5631
- NPI assigned
- Jun 17, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4665 | SC | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4665 | SC | Yes |
Addresses
Primary practice location
95 Mathews Dr
Ste D5
Hilton Head, SC 29926-3734
Mailing address
95 Mathews Dr
Ste D5
Hilton Head, SC 29926-3734
Phone (843) 681-5640
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00179664 | Other | SC | RAILROAD PROVIDER NUMBER |
| P00640591 | Other | SC | RAILROAD PTAN |
| P00640591 | Other | SC | RAILROAD MEDICARE |
| 187344 | Other | SC | MEDCOST PROVIDER NUMBER |
Other providers in Hilton Head, SC
- Christopher Lee Culpepper
- John Thomas Daniels
- Rebecca Brilla Dasher
- David E Dorsner MD PA
- Gregory Lane Davies
- Joseph Delorme
- Kelsey Scott Dennis
- Dermatology Surgery Center, LLC
- Rosemarie Dicanio
- Susan Adela Dinges
All providers in Hilton Head, SC · Physical Therapist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.