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

Tyler Sousa

Individual provider Physical Therapist · NPI 1568184521

Tyler Sousa is a Physical Therapist in Private Practice in Dedham, Massachusetts. Qualified in 2021, 5 years ago. Licensed in Massachusetts.

Years since qualifying
5
Licensed in
MA
In the registry since
2022
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Practice location Address checks out

391 Common St
Dedham, MA 02026-4055
Phone: (877) 407-3422
Fax: (877) 407-4329
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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 25412 (MA)

Record details

NPI number1568184521
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 16, 2022
Last updated in NPPESSeptember 16, 2022
Certification dateSeptember 16, 2022
Mailing address7 Carnegie Plz, Cherry Hill, NJ 08003-1000

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Dedham