Tyler Vernon Sooknanan, DPT, CSCS in Chester, NY - Medicare Physical Therapist In Private Practice Provider

Tyler Vernon Sooknanan, DPT, CSCS is a medicare enrolled "Physical Therapist" provider in Chester, New York. He went to State University Of Ny Upstate Medical University and graduated in 2024 and has 2 years of diverse experience with area of expertise as Physical Therapist In Private Practice. He is a member of the group practice Montefiore Medical Center, Esd Pt Ot And Slp Pllc and his current practice location is 78 Brookside Ave Ste 144, Chester, New York. You can reach out to his office (for appointments etc.) via phone at (845) 469-2224.

Tyler Vernon Sooknanan is licensed to practice in New York (license number 052886) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1346073111.

Contact Information

	Tyler Vernon Sooknanan, DPT, CSCS
	78 Brookside Ave Ste 144, Chester, NY 10918-1060
	(845) 469-2224
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tyler Vernon Sooknanan
Gender	Male
Speciality	Physical Therapist In Private Practice
Experience	2 Years
Location	78 Brookside Ave Ste 144, Chester, New York
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Tyler Vernon Sooknanan attended and graduated from State University Of Ny Upstate Medical University in 2024

NPI Data:

NPI Number: 1346073111
Provider Enumeration Date: 08/26/2024
Last Update Date: 05/21/2025

Medicare PECOS Information:

PECOS PAC ID: 1456892728
Enrollment ID: I20240926002068

Medical Identifiers

Medical identifiers for Tyler Vernon Sooknanan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346073111	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	052886-01 (New York)	Secondary
225100000X	Physical Therapist	052886 (New York)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Montefiore Medical Center	3779496021	2350
Esd Pt Ot And Slp Pllc	5991044125	78

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Tyler Vernon Sooknanan allows following entities to bill medicare on his behalf.

Provider Name	Montefiore Medical Center
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1063525152 PECOS PAC ID: 3779496021 Enrollment ID: O20031113000235

Provider Name	Access Pt, Ot, New York, Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1831539493 PECOS PAC ID: 3870735897 Enrollment ID: O20130805000042

Provider Name	Esd Pt Ot & Slp Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1003383308 PECOS PAC ID: 5991044125 Enrollment ID: O20190305001668

Provider Name	Pt And Ot For Senior Rehab At Home Pllc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1811463003 PECOS PAC ID: 2668711573 Enrollment ID: O20190311001487

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tyler Vernon Sooknanan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Tyler Vernon Sooknanan, DPT, CSCS 16 Maybrook Rd Ste L, Campbell Hall, NY 10916-2741 Ph: () -	Tyler Vernon Sooknanan, DPT, CSCS 78 Brookside Ave Ste 144, Chester, NY 10918-1060 Ph: (845) 469-2224

Reviews and Comments

Physical Therapist in Chester, NY

Nicole Lee Jacklitsch, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2 Jackie Ct, Chester, NY 10918 Phone: 845-544-3392
Thomas Derian Ogrodnik, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 101 Brookside Ave, Chester, NY 10918 Phone: 845-469-2224
Ms. Mae Resa Card, P.T., D.P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 3 Overlook Trail, Chester, NY 10918 Phone: 315-512-1773 Fax: 315-512-1774
Dr. Samuel D O'keefe, PT DPT CSCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 101 Brookside Ave, Chester, NY 10918 Phone: 845-469-2224
Isabel Blanco, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 120 Gibson Hill Rd, Chester, NY 10918 Phone: 845-469-5092
Ms. Isabel A. Blanco, PT, MS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 120 Gibson Hill Road, Chester, NY 10918 Phone: 845-469-5092

Tyler Vernon Sooknanan, DPT, CSCS - Medicare Physical Therapist in Chester, NY