Organization Active NPI

Tyler J Kenton DPT PLLC

  • Orthopedic Physical Therapist
  • New York, NY
National Provider Identifier
1821637653
Registry record updated Oct 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Legal business name
TYLER J KENTON DPT PLLC
Practice address
666 Broadway Lowr Level
New York, NY 10012-2317
Phone
(302) 233-1210
Fax
(332) 777-1315
NPI assigned
Dec 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2021

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

Authorized official

Name
Dr. Tyler Joseph Kenton, DPTNPI 1598249252
Title
Member/Owner
Phone
(302) 233-1210

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X Primary

Addresses

Primary practice location

666 Broadway Lowr Level
New York, NY 10012-2317

Mailing address

129 N 3Rd St Apt 309
Brooklyn, NY 11249-3980
Phone (302) 233-1210

National Provider Directory

National Provider Directory

Locations

666 Broadway
Lowr
New York, NY 10012
Phone (302) 233-1210

1 Union Sq W
Bsmt
New York, NY 10003

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1577318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633564800000",
    "number": "1821637653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 N 3RD ST APT 309",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112493980",
            "telephone_number": "302-233-1210",
            "fax_number": "332-777-1315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "666 BROADWAY LOWR LEVEL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100122317",
            "telephone_number": "302-233-1210",
            "fax_number": "332-777-1315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYLER J KENTON DPT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-26",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A",
        "authorized_official_last_name": "KENTON",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "302-233-1210",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "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 Oct 7, 2021; 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.