Tyler Evan Phillips (NPI# 1093232969, PAC ID# 6204109333) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1093232969 |
| PAC ID by PECOS | 6204109333 |
| Professional Enrollment ID | I20170912000443 |
| Full Name | Tyler Evan Phillips |
| Organization Legal Name | MAPLE CITY PHYSICAL THERAPY PLLC |
| Address |
2 S Main St Andover NY 14806-9307 |
| Phone Number | 6073249344 |
| Gender | M |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 4789800467 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2 S Main St, Andover, NY 14806-9307 | 6073249344 | MAPLE CITY PHYSICAL THERAPY PLLC |
| 100 Loder St, Hornell, NY 14843-1957 | 6073249344 | MAPLE CITY PHYSICAL THERAPY PLLC |
| Organization Legal Name | MAPLE CITY PHYSICAL THERAPY PLLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeremy Matthew Bittel | Physical Therapy | Maple City Physical Therapy Pllc | 100 Loder St, Hornell, NY 14843-1957 |
| Myranda Garfield | Physical Therapy | Maple City Physical Therapy Pllc | 2 S Main St, Andover, NY 14806-9307 |
| Megan Louise Obrien | Physical Therapy | Maple City Physical Therapy Pllc | 100 Loder St, Hornell, NY 14843-1957 |
| Travis Charles Enser | Physical Therapy | Maple City Physical Therapy Pllc | 100 Loder St, Hornell, NY 14843-1957 |
| Deborah Towle | Physical Therapy | Maple City Physical Therapy Pllc | 100 Loder St, Hornell, NY 14843-1957 |
| Street Address |
2 S MAIN ST |
| City | ANDOVER |
| State | NY |
| Zip | 14806-9307 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Myranda Garfield | Physical Therapy | Maple City Physical Therapy Pllc | 2 S Main St, Andover, NY 14806-9307 |
| Laura A Demarco | Psychologist, Clinical | 2 S Main St, Suite 3, Andover, NY 14806-9307 | |
| Eileen M Reardon | Clinical Social Worker | 2 S Main St, Suite 3, Rutland, VT 05701-4262 | |
| Meghan L Sperry | Certified Nurse Midwife (cnm) | 2 S Main St, Suite 3, Randolph, VT 05060-1367 | |
| Gregory P Zengo | Obstetrics/gynecology | 2 S Main St, Suite 206, Watkinsville, GA 30677-7101 |
| City | ANDOVER |
| Zip Code | 14806 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | ANDOVER + PHYSICAL THERAPY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.