Active NPI
Ditmas Park Wellness PT PLLC
- Physical Therapy Clinic/Center
- Brooklyn, NY
National Provider Identifier
1891532362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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
- Ditmas Park Dental, PC
- Ditmas Park Dialysis Center LLC
- Ditmas Park Pharmacy Inc
- Ditmas Park Rehabilitation & Care Center LLC
- Ditmas Park Rehabilitation & Care Center LLC
- Ditmas Pharmacy Corp
- Dinean Ann Ditolla, MS,CCC-SLP
- Oksana Ditwell, AGNP
- Jillian Leigh Diuguid-Gerber, MD
- Steven Marc Divack, M.D.
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.