Tyler Leitzke, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

F1-0011076 Issued in DE

Practice address

1 Centurian Dr Ste 303
Newark, DE 19713-2127

Phone

(302) 287-9914

NPI assigned

Feb 3, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Abby Medical Center Cardiac Rehabilitation LLC

  • Cardiac-Interventional Technology Radiologic Technologist
  • Newark, DE
  • NPI 1770352791
  NPD
• L Squared Health Care LLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Newark, DE
  • NPI 1710553227

  Chiropractor

  NPD (past)
• Middletown Familycare Associates LLC

  • Family Medicine Physician
  • Middletown, DE
  • NPI 1831202100
  NPD (past)

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

{
    "created_epoch": "1643846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1841943370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 OMEARA CT",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197099370",
            "telephone_number": "302-353-9066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CENTURIAN DR STE 303",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132127",
            "telephone_number": "302-287-9914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEITZKE",
        "first_name": "TYLER",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-03",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "DE",
            "license": "F1-0011076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drtylerleitzke@phw-care.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "1 Centurian Dr Ste 303",
            "city": "Newark",
            "state": "DE",
            "country_code": "US",
            "postal_code": "197132127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jenna Renee Lefebvre
• Sierra Legeer, PA-C
• Victoria Leicht, PA-C
• Gilbert A Leidig Jr., M.D.
• Elliott H Leitman, MD
• Angela Rose Lentini, PHARMD
• Miles Leon, LCSW
• James Aaron Leonard, MD
• Megan Leonard, PA
• Tara Leonard

• Chiropractor in Newark, DE
• Providers in Newark, DE by specialty
• Chiropractor in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; 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.