Tyler Hannon, DPT | |
498 Monmouth Rd Ste 3, Millstone Township, NJ 08510-1239 | |
(609) 613-4811 | |
(609) 357-0027 |
Full Name | Tyler Hannon |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 6 Years |
Location | 498 Monmouth Rd Ste 3, Millstone Township, New Jersey |
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 |
---|---|---|---|
1174156368 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT028354 (Pennsylvania) | Secondary |
225100000X | Physical Therapist | 40QA02146300 (New Jersey) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ivyrehab Network Inc | 3476539776 | 463 |
Provider Name | Ivyrehab Network Inc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1861623753 PECOS PAC ID: 3476539776 Enrollment ID: O20040628000865 |
Mailing Address | Practice Location Address |
---|---|
Tyler Hannon, DPT 1311 Mamaroneck Ave Ste 140, White Plains, NY 10605-5224 Ph: (914) 294-4050 | Tyler Hannon, DPT 498 Monmouth Rd Ste 3, Millstone Township, NJ 08510-1239 Ph: (609) 613-4811 |
Miss Paulomi Hardik Desai, PT,DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 525 Route 33, Millstone Township, NJ 08535 Phone: 212-370-5551 Fax: 212-370-5559 | |
Angelita Gonzales, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8 Schoolhouse Rd, Millstone Township, NJ 08510 Phone: 732-439-5400 Fax: 732-786-0808 | |
Ishani Ripple Shah, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 24 Dugans Grv,, Millstone Township, NJ 08535 Phone: 201-430-5772 |