Kelly Tyukody, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

J1-0014696 Issued in DE

Practice address

12100 Black Swan Dr Ste 202
Lewes, DE 19958-4991

Phone

(302) 449-6476

Fax

(302) 449-2047

NPI assigned

May 12, 2023

Sex

Female

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 DE, CA2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Davis and Derosa Physical Therapy IncGroup PAC ID 7113954264, 21 clinicians

Manhattan Beach Pacific Physical Therapy IncGroup PAC ID 4587619457, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Davis and Derosa Physical Therapy, Inc

  • Physical Therapist
  • El Segundo, CA
  • NPI 1558414102
  Medicare reassignment Care Compare group NPD
• Manhattan Beach Pacific Physical Therapy Inc

  • Physical Therapist
  • El Segundo, CA
  • NPI 1396799458
  Medicare reassignment Care Compare group NPD
• Premier Physical Therapy and Sports Performance Limited Partnership

  • Physical Therapist
  • Middletown, DE
  • NPI 1417320151
  Medicare reassignment NPD
• Premier Physical Therapy and Sports Performance Limited Partnership

  • Durable Medical Equipment & Medical Supplies
  • Milford, DE
  • NPI 1457943623
  NPD

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

{
    "created_epoch": "1683849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1982394912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 INDUSTRIAL DR STE 210",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197092803",
            "telephone_number": "302-724-6344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12100 BLACK SWAN DR STE 202",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199584991",
            "telephone_number": "302-449-6476",
            "fax_number": "302-449-2047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYUKODY",
        "first_name": "KELLY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-12",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0014696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin C Tucker, RN
• Ashley L Tull, RN, BSN
• Michelle Turin, RN
• Nichole Tuten
• John William Tyson, MD
• Ultimate Hearing Solutions IV
• Keith Underwood, RN
• Urology Associates of Southern Delaware, P.a.
• Patricia Ann Valencis, RN
• Paula Virginia Valenzuela, RN

• Physical Therapist in Lewes, DE
• Providers in Lewes, DE by specialty
• Physical Therapist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; 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.