| Tyler J Smith, PT | |
|
2 Icehouse Rd, Medfield, MA 02052-1555 | |
| (508) 242-9478 | |
| (508) 242-9489 |
| Full Name | Tyler J Smith |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 27 Years |
| Location | 2 Icehouse Rd, Medfield, Massachusetts |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851306153 | NPI | - | NPPES |
| 1010909 | Medicaid | VT | |
| 00068268 | Other | BLUE CROSS BLUE SHIELD OF | |
| 7277652 | Other | AETNA | |
| 782961 | Other | MVP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 0400003612 (Vermont) | Secondary |
| 225100000X | Physical Therapist | 11612 (Massachusetts) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Accelerated Performance And Rehabilitation, Inc | 9739458266 | 6 |
| Provider Name | Accelerated Performance & Rehabilitation, Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1710410709 PECOS PAC ID: 9739458266 Enrollment ID: O20170627000796 |
| Provider Name | Bay State Physical Therapy Of Randolph Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1164474334 PECOS PAC ID: 6305744251 Enrollment ID: O20191112001187 |
| Mailing Address | Practice Location Address |
|---|---|
| Tyler J Smith, PT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: (630) 296-2222 | Tyler J Smith, PT 2 Icehouse Rd, Medfield, MA 02052-1555 Ph: (508) 242-9478 |
Brian Wheeler, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2 Icehouse Rd, Medfield, MA 02052 Phone: 508-242-9478 Fax: 508-242-9489 | |
Caryn Phillips, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 266 Main St Ste 17, Medfield, MA 02052 Phone: 508-556-1397 | |
Momlife Health And Wellness Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 266 Main St Ste 17, Medfield, MA 02052 Phone: 508-556-1397 | |
Kathryn A Piersiak, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5 N Meadows Rd Ste 6, Medfield, MA 02052 Phone: 508-359-9119 Fax: 508-359-9115 | |
Lynette Marie Winshman, PT, DPT, LAT, ATC Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5 N Meadows Rd, Medfield, MA 02052 Phone: 508-359-9119 | |
Mr. Alexander John Campbell, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9 Ledgetree Rd, Medfield, MA 02052 Phone: 508-359-6615 | |
Jessica Bourque, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 147 High St, Medfield, MA 02052 Phone: 617-640-7275 |