Tyler G Dechiara

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

3701 80TH St
Kenosha, WI 53142-4950

Phone

(262) 697-1730

NPI assigned

Apr 17, 2018

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525132800000",
    "number": "1972090819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 OAKMONT LN STE 600C",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605595548",
            "telephone_number": "630-590-4029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 80TH ST",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531424950",
            "telephone_number": "262-697-1730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECHIARA",
        "first_name": "TYLER",
        "middle_name": "G",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-17",
        "last_updated": "2018-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Lynn Davis, D.D.S.
• Dawn'S Early Light LLC
• Kirsten Leigh De Steffen, MA/CCC-SLP
• Jamie Deal
• Samantha Rae Debartolo
• Teresa Deer, PH.D.
• Lisa M Defazio, M.S.W., L.C.S.W.
• Michael A Defazio, MSSW LICSW CADC III
• Paul Michael Defazio, MSW
• Danielle Defreese, PSYD

• Physical Therapist in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; 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.