Tyler J Smith, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11612 Issued in MA

Practice address

2 Icehouse Rd
Medfield, MA 02052-1555

Phone

(508) 242-9478

Fax

(508) 242-9489

NPI assigned

Jul 29, 2006

Last updated

Dec 4, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Accelerated Performance and Rehabilitation, IncGroup PAC ID 9739458266, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1148/brand/1/csg/1/fhir/r4

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.

• Accelerated Performance & Rehabilitation, Inc

  • Physical Therapist
  • Westwood, MA
  • NPI 1710410709
  Medicare reassignment Care Compare group NPD
• Bay State Physical Therapy of Randolph Inc

  dba Bay State Physical Therapy

  • Physical Therapist
  • Fall River, MA
  • NPI 1164474334
  Medicare reassignment
• Bay State Physical Therapy of Randolph Inc

  dba Bay State Physical Therapy

  • Physical Therapist
  • Franklin, MA
  • NPI 1821108549
  NPD
• Francis P. Defalco, PC

  dba DeFalco Family Chiropractic

  • Chiropractor
  • Holden, MA
  • NPI 1184944464
  NPD (past)
• Motion Works Physical Therapy, LLC

  • Physical Therapist
  • Foxboro, MA
  • NPI 1548719677
  NPD (past)
• Physical Therapy Innovations, Inc

  • Physical Therapist
  • Auburn, MA
  • NPI 1689620452
  NPD (past)
• Pro Sports Therapy, Inc.

  • Physical Therapist
  • Waltham, MA
  • NPI 1780661090
  NPD (past)
• Vermont Sports Medicine Center

  • Prosthetic/Orthotic Supplier
  • Rutland, VT
  • NPI 1689832594
  NPD (past)
• Vermont Sports Medicine Center

  • Occupational Therapist
  • Rutland, VT
  • NPI 1730103300

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512345600000",
    "number": "1851306153",
    "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",
            "telephone_number": "630-296-2222",
            "fax_number": "630-759-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 ICEHOUSE RD",
            "city": "MEDFIELD",
            "state": "MA",
            "postal_code": "020521555",
            "telephone_number": "508-242-9478",
            "fax_number": "508-242-9489"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "489 Washington Street, Suite 200",
            "address_2": "Physical Therapy Innovations",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "MA",
            "postal_code": "01501",
            "country_code": "US",
            "telephone_number": "508-721-0000",
            "fax_number": "508-721-0100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TYLER",
        "middle_name": "J",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-29",
        "last_updated": "2017-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "0400003612",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "11612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1010909",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "782961",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF",
            "identifier": "00068268",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7277652",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Shusterman
• Kevin Silva
• Laurie Silva
• Mary Slattery Bennett, M.S., CCC-SP
• Mekenzie Smith, MS, RDN
• Speech-Language & Hearing Associates
• Speech-Language and Hearing Associates of Greater Boston, PC
• Speech-Language and Hearing Associates of Greater Boston, PC
• Speech-Language and Hearing Associates of Greater Boston, PC
• Barbara Croft Spillane, P.T., A.T,C.

• Physical Therapist in Medfield, MA
• Providers in Medfield, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2017; 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.