Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelly Tyukody, DPT

Individual provider Physical Therapist · NPI 1982394912

Kelly Tyukody, DPT is a Physical Therapist in Private Practice in Lewes, Delaware. Qualified in 2023, 3 years ago. Practices with Davis and Derosa Physical Therapy Inc, a 21-clinician group and accepts Medicare assignment. Licensed in Delaware.

Years since qualifying
3
Licensed in
DE
In the registry since
2023
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

12100 Black Swan Dr Ste 202
Lewes, DE 19958-4991
Phone: (302) 449-6476
Fax: (302) 449-2047
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence J1-0014696 (DE)

Record details

NPI number1982394912
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedMay 12, 2023
Last updated in NPPESMay 12, 2023
Certification dateMay 12, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Davis And Derosa Physical Therapy Inc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Lewes