Tatem Alexandra Edwards, DPT
Individual provider Active NPI Physical Therapist · Des Moines, IA
NPI 1003264979 · NPPES record last updated Jan 3, 2019
Key facts
- NPI
- 1003264979
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 2619 SW 9TH St Ste 103
Des Moines, IA 50315-1910 - Phone
- (515) 953-6911
- Fax
- (515) 953-6913
- NPI assigned
- Jun 1, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Makovicka Harms Group PC
Practice addresses (Care Compare)
13851 Guildford St
Suite 2
Waverly, NE 68462-1453
Phone (402) 786-0476
Merit-based Incentive Payment System (MIPS)
- Final score
- 32.9 of 100
- Quality
- 0
- Improvement activities
- 40
- Cost
- 59.68
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201116002827 | NE | Practitioner - Physical Therapist in Private Practice | 6507156148 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4147 | NE | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Makovicka Harms Group PC | Physical Therapist | Current |
Accepting new patients |
| Athletico LTD | Physical Therapist | Past | Accepting new patients |
| Makovicka Harms Group, PC | Physical Therapist | Past | Accepting new patients |
| Makovicka Sylliaasen PC | Physical Therapist | Past |
Accepting new patients |
Locations
555 Cornhusker Rd
Ste 207
Bellevue, NE 68005
Phone (402) 614-4300
20024 Glenmore Dr
Ste 101
Gretna, NE 68028
Phone (402) 332-3773
2436 N 48th St
Ste 101
Lincoln, NE 68504
Phone (402) 325-6341
333 S 70th St
Ste 102
Lincoln, NE 68510
Phone (531) 500-4160
7030 Helen Witt Dr
Ste A
Lincoln, NE 68512
Phone (402) 420-4545
6909 S 157th St
Ste E
Omaha, NE 68136
Phone (402) 933-5448
11901 Pacific St
Ste 2
Omaha, NE 68154
Phone (402) 401-6151
1021 S 178th St
Ste 101
Omaha, NE 68118
Phone (402) 256-5856
4235 N 90th St
Omaha, NE 68134
Phone (402) 934-0045
6307 Center St
Ste 105
Omaha, NE 68106
Phone (402) 884-7453
3830 N 167th Ct
Ste 102
Omaha, NE 68116
Phone (402) 502-2290
11476 S 72nd St
Ste 102
Papillion, NE 68046
Phone (402) 964-2045
8419 S 73rd Plz
Ste 104
Papillion, NE 68046
Phone (402) 991-2745
16385 Westside Dr
Ste 1
Plattsmouth, NE 68048
Phone (402) 870-4521
559 W 15th St
Wahoo, NE 68066
Phone (402) 420-4545
13851 Guildford St
Waverly, NE 68462
Phone (402) 786-0476
13851 Guildford St
Ste 2
Waverly, NE 68462
Phone (402) 786-0476
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Yes |
Addresses
Primary practice location
2619 SW 9TH St Ste 103
Des Moines, IA 50315-1910
Mailing address
600 Oakmont LN Ste 600C
Westmont, IL 60559-5548
Phone (630) 575-6200
Other names
- Tatem Alexandra Kreikemeier
Other providers in Des Moines, IA
- Dyann M Edwards
- Jennifer Anne Edwards
- Justin Edwards
- Kelsey Elizabeth Edwards
- Olivia Edwards
- Kristen Fae Eekhoff
- Robert Eells
- Aimanohi Egbelakin
- Akinbode Solomon Egbelakin
- Robert L Eggers
All providers in Des Moines, IA · Physical Therapist in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 3, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.