Jennifer Marie Tyra (NPI# 1518483411, PAC ID# 4486920493) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1518483411 |
| PAC ID by PECOS | 4486920493 |
| Professional Enrollment ID | I20190923000019 |
| Full Name | Jennifer Marie Tyra |
| Organization Legal Name | PT BY THE SEA INC |
| Address |
1721 Allens Ln Suite 101 Wilmington NC 28403-3662 |
| Phone Number | 9102564442 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 1557354826 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1721 Allens Ln, Suite 101, Wilmington, NC 28403-3662 | 9102564442 | PT BY THE SEA INC |
| Organization Legal Name | PT BY THE SEA INC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer R Russo | Physical Therapy | Pt By The Sea Inc | 1721 Allens Ln, Suite 101, Wilmington, NC 28403-3662 |
| Catherine C Duncan | Physical Therapy | Pt By The Sea Inc | 1721 Allens Ln, Suite 101, Wilmington, NC 28403-3662 |
| Theresa H Kramer | Physical Therapy | Pt By The Sea Inc | 1721 Allens Ln, Suite 101, Wilmington, NC 28403-3662 |
| Meredith Sterling Mcinnis | Physical Therapy | Pt By The Sea Inc | 1721 Allens Ln, Suite 101, Wilmington, NC 28403-3662 |
| Jennifer Devers | Physical Therapy | Pt By The Sea Inc | 1721 Allens Ln, Suite 101, Wilmington, NC 28403-3662 |
| Susan M Ocarroll | Physical Therapy | Pt By The Sea Inc | 1721 Allens Ln, Suite 101, Wilmington, NC 28403-3662 |
| Amanda P Palmer | Physical Therapy | Pt By The Sea Inc | 1721 Allens Ln, Suite 101, Wilmington, NC 28403-3662 |
| Emily J Bjornstad | Physical Therapy | Pt By The Sea Inc | 1721 Allens Ln, Suite 101, Wilmington, NC 28403-3662 |
| Richard A Hand | Physical Therapy | Pt By The Sea Inc | 1721 Allens Ln, Suite 101, Wilmington, NC 28403-3662 |
| Street Address |
1721 ALLENS LN SUITE 101 |
| City | WILMINGTON |
| State | NC |
| Zip | 28403-3662 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer R Russo | Physical Therapy | Pt By The Sea Inc | 1721 Allens Ln, Suite 101, Wilmington, NC 28403-3662 |
| Kathryn Lomax | Nurse Practitioner | Carolina Healthcare Associates Inc | 1721 Allens Ln, Suite 100, Wilmington, NC 28403-3662 |
| Catherine C Duncan | Physical Therapy | Pt By The Sea Inc | 1721 Allens Ln, Suite 101, Wilmington, NC 28403-3662 |
| Peter G Kramer | Family Medicine | Carolina Healthcare Associates Inc | 1721 Allens Ln, Suite 100, Wilmington, NC 28403-3662 |
| Theresa H Kramer | Physical Therapy | Pt By The Sea Inc | 1721 Allens Ln, Suite 101, Wilmington, NC 28403-3662 |
| Meredith Sterling Mcinnis | Physical Therapy | Pt By The Sea Inc | 1721 Allens Ln, Suite 101, Wilmington, NC 28403-3662 |
| Emily E Mackovjak | Nurse Practitioner | Carolina Healthcare Associates Inc | 1721 Allens Ln, Suite 100, Wilmington, NC 28403-3662 |
| Jennifer Devers | Physical Therapy | Pt By The Sea Inc | 1721 Allens Ln, Suite 101, Wilmington, NC 28403-3662 |
| Fazil A Mohamed Ii | Obstetrics/gynecology | 1721 Allens Ln, Suite 102, Wilmington, NC 28403-3662 | |
| Susan M Ocarroll | Physical Therapy | Pt By The Sea Inc | 1721 Allens Ln, Suite 101, Wilmington, NC 28403-3662 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maria Tar | Clinical Social Worker | 1410 Commonwealth Dr, Suite 101a, Wilmington, NC 28403-0383 | |
| Christopher R Myers | Psychiatry | Physician Alliance for Mental Health, LLC | 3208 Oleander Dr, Wilmington, NC 28403-0800 |
| Brett A Gurkin | Psychiatry | Physician Alliance for Mental Health, LLC | 3208 Oleander Dr, Wilmington, NC 28403-0800 |
| Geoffrey D Holland | Physician Assistant | Physician Alliance for Mental Health, LLC | 3208 Oleander Dr, Wilmington, NC 28403-0800 |
| Patricia Davis Prichard | Clinical Social Worker | Physician Alliance for Mental Health, LLC | 3208 Oleander Dr, Wilmington, NC 28403-0800 |
| Katherine Sharon Martin | Clinical Social Worker | Physician Alliance for Mental Health, LLC | 3208 Oleander Dr, Wilmington, NC 28403-0800 |
| Catherine Marie Dalton | Clinical Social Worker | Physician Alliance for Mental Health, LLC | 3208 Oleander Dr, Wilmington, NC 28403-0800 |
| Joseph Painter | Clinical Social Worker | Physician Alliance for Mental Health, LLC | 3208 Oleander Dr, Wilmington, NC 28403-0800 |
| Rasika Khatu Whitesell | Optometry | Myeyedr Optometry of North Carolina Pllc | 3501 Oleander Dr, Suite 7, Wilmington, NC 28403-0824 |
| Thomas M Walent Iii | Optometry | The Eye Center Doctors of Optometry Pa | 3500 Oleander Dr, B10, Wilmington, NC 28403-0842 |
| Find all physicians in zip 28403 | |||
| City | WILMINGTON |
| Zip Code | 28403 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | WILMINGTON + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Jennifer Marie Tyra.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.