TYLER BAGUE DPT
NPI 1902778780
Physical Therapist in Skaneateles, NY

Active since September 22, 2025
810 W GENESEE STREET RD, SKANEATELES, NY 13152(315) 291-7042 Get Directions Write a Review

NPPES record last updated: September 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tyler Bague Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TYLER BAGUE DPT (NPI 1902778780) is an individual physical therapist in Skaneateles, New York, licensed in New York (054665-01) and active in the NPI registry since September 2025. He is a graduate of State University Of Ny Upstate Medical University (2025).

NPPES Registry Identity

NPI1902778780
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameTYLER BAGUECredential: DPT
Location Address810 W GENESEE STREET RDSkaneateles, NY 13152-9311
Mailing Address2476 W Genesee Tpke Apt 207Camillus, NY 13031-9524
Sole ProprietorNo
Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 2025
Enumeration DateSeptember 22, 2025
NPPES CertifiedSeptember 21, 2025
NPI 1902778780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in NY · 054665-01
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
810 W GENESEE STREET RD, Skaneateles, NY 13152

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Tyler Bague Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9638648959
PECOS Enrollment IDI20260515002582

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
810 W GENESEE STREET RD
SKANEATELES, NY 13152
Physical Therapist
810 W GENESEE STREET RD
SKANEATELES, NY 13152
Clinic/Center (Physical Therapy)
810 W GENESEE STREET RD
SKANEATELES, NY 13152
Physical Therapist
810 W GENESEE STREET RD
SKANEATELES, NY 13152
Physical Therapist
810 W GENESEE STREET RD
SKANEATELES, NY 13152
Physical Therapist
810 W GENESEE STREET RD
SKANEATELES, NY 13152
Clinic/Center (Physical Therapy)
810 W GENESEE STREET RD
SKANEATELES, NY 13152
Physical Therapist
810 W GENESEE STREET RD
SKANEATELES, NY 13152

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tyler Bague's NPI number?

The NPI number for Tyler Bague is 1902778780. It was assigned to this individual provider in the NPPES registry on September 22, 2025.

Where is Tyler Bague located?

Tyler Bague practices at 810 W Genesee Street Rd, Skaneateles, NY 13152. The listed phone number is (315) 291-7042.

What is Tyler Bague's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Tyler Bague enrolled in Medicare?

Yes. Tyler Bague is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tyler Bague was last updated on September 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.