Organization Active NPI

Ditmas Park Wellness PT PLLC

  • Physical Therapy Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1891532362
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
DITMAS PARK WELLNESS PT PLLC
Practice address
1103 Cortelyou Rd
Brooklyn, NY 11218-5303
Phone
(516) 521-0347
NPI assigned
Jul 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Authorized official

Name
Meg Tyger Tyner, PT, DPT
Title
Owner
Phone
(516) 521-0347

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1103 Cortelyou Rd
Brooklyn, NY 11218-5303

Mailing address

10 Slocum PL Apt 4E
Brooklyn, NY 11218-4364
Phone (516) 521-0347

National Provider Directory

National Provider Directory

Locations

1103 Cortelyou Rd
Brooklyn, NY 11218
Phone (212) 281-6412

NPI Registry JSON

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

{
    "created_epoch": "1720656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775606400000",
    "number": "1891532362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 SLOCUM PL APT 4E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112184364",
            "telephone_number": "516-521-0347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 CORTELYOU RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112185303",
            "telephone_number": "516-521-0347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DITMAS PARK WELLNESS PT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-11",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A",
        "authorized_official_last_name": "TYGER TYNER",
        "authorized_official_first_name": "MEG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-521-0347",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; 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.