Provider Demographics
NPI:1538995303
Name:WILLIAMS, TYLER CURRIE (DPT)
Entity type:Individual
Prefix:
First Name:TYLER
Middle Name:CURRIE
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 S EUCLID AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07090-2187
Mailing Address - Country:US
Mailing Address - Phone:908-588-2311
Mailing Address - Fax:908-588-2319
Practice Address - Street 1:116 S EUCLID AVE STE 1
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07090-2187
Practice Address - Country:US
Practice Address - Phone:908-588-2311
Practice Address - Fax:908-588-2319
Is Sole Proprietor?:No
Enumeration Date:2024-09-10
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP23426225100000X
NJ40QA023196002251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist