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

Tyron Medallo, PT

Individual provider Physical Therapist · NPI 1134457120

Tyron Medallo, PT is registered under Physical Therapist in Private Practice in New York, New York. Qualified in 1999, 27 years ago. Practices with Optum Medical Care PC, a 1,018-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
27
Licensed in
NY
In the registry since
2009
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

41 Elizabeth St Rm 703
New York, NY 10013-4637 Not confirmed with CMS for 16 years — call before visiting
Phone: (212) 219-0534
Fax: (212) 219-0535
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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 028311 (NY)

Record details

NPI number1134457120
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedDecember 2, 2009
Last updated in NPPESDecember 2, 2009

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Optum Medical Care Pc — 1018 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients28
Services billed 926 a service is one billed item, such as a visit, a test or a procedure
Average patient age74

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Optum Medical Care PC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 1018 clinicians in the practice; 12 are shown here.

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