Dominick Bryce Tyll, PT | |
3727 Wilder Rd, Bay City, MI 48706-2367 | |
(989) 860-0846 | |
Not Available |
Full Name | Dominick Bryce Tyll |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 3727 Wilder Rd, Bay City, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376265025 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
225100000X | Physical Therapist | 5501302035 (Michigan) | Primary |
Provider Name | Game Changer Pediatric Therapy Services Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1437506383 PECOS PAC ID: 5193017119 Enrollment ID: O20160713000040 |
Mailing Address | Practice Location Address |
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Dominick Bryce Tyll, PT 3727 Wilder Rd, Bay City, MI 48706-2367 Ph: (989) 860-0846 | Dominick Bryce Tyll, PT 3727 Wilder Rd, Bay City, MI 48706-2367 Ph: (989) 860-0846 |
Erin Smith, PT, DPT, AT, ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2919 Wilder Rd, Bay City, MI 48706 Phone: 989-671-5740 | |
Sunil Malewar, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2535 22nd St, Bay City, MI 48708 Phone: 989-891-9800 Fax: 989-891-0800 | |
Erin Bowns, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1900 Columbus Ave, Bay City, MI 48708 Phone: 989-894-3000 | |
Dr. Jerome Adams Jr., D.P.T Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4121 Shrestna Dr., Bay City, MI 48706 Phone: 989-460-0020 Fax: 989-460-0021 | |
Jaime Cuesta, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 Mulholland St, Bay City, MI 48708 Phone: 989-895-8539 | |
Rebecca Mcshane, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1900 Columbus Ave, Bay City, MI 48708 Phone: 989-894-3000 | |
Judith Goik, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1900 Columbus Ave, Bay City, MI 48708 Phone: 989-894-3000 |