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

Maryellen Lee Tighe

Individual provider Physical Therapist · NPI 1407515091

Maryellen Lee Tighe is a Physical Therapist in Private Practice in Liverpool, New York. Graduated from State University of Ny Upstate Medical University in 2021, 5 years ago. Practices with Onondaga Physical Therapy, LLC, a 25-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Trained at
State University of Ny Upstate Medical University
Licensed in
NY
In the registry since
2021
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

604 Old Liverpool Rd Ste 2
Liverpool, NY 13088-6033
Phone: (315) 218-1451
Fax: (315) 451-1752
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 048331 (NY)

Record details

NPI number1407515091
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 11, 2021
Last updated in NPPESDecember 11, 2021
Certification dateDecember 11, 2021
Mailing address604 Old Liverpool Rd Ste 2, Liverpool, NY 13088-6033

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolSTATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated 2021 (5 years in practice)
Group practice Onondaga Physical Therapy, Llc — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Liverpool