Tyler Bague, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

054665-01 Issued in NY

Practice address

810 W Genesee Street Rd
Skaneateles, NY 13152-9311

Phone

(315) 291-7042

NPI assigned

Sep 22, 2025

Last updated

Sep 22, 2025By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

State University of Ny Upstate Medical University, 2025

Medicare assignment

May accept Medicare assignment

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sports Physical Therapy of New York, P.C.

  • Physical Therapist
  • Manlius, NY
  • NPI 1912950072
  Medicare reassignment
• Shelly Kraetz

  dba FYZICAL Therapy & Balance Centers

  • Physical Therapy Clinic/Center
  • Skaneateles, NY
  • NPI 1730463134

  Physical Therapist

  NPD

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

{
    "created_epoch": "1758499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1902778780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2476 W GENESEE TPKE APT 207",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130319524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 W GENESEE STREET RD",
            "city": "SKANEATELES",
            "state": "NY",
            "postal_code": "131529311",
            "telephone_number": "315-291-7042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGUE",
        "first_name": "TYLER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-22",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "054665-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Kaufman Aronson, RD, CDN
• Katie Arseneau, DPT
• Julie Ann Aspenleiter, PSY.D.
• Janet Ann Austin, DC
• Taryn A Bader, D.P.T
• Alexandra Baio, RDN
• Alexander Monett Barrow, DPT
• Jeffrey Batis
• David Battaglia, R.PH.
• Stephen P Berwind, MSN NP

• Physical Therapist in Skaneateles, NY
• Providers in Skaneateles, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; 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.