Laura Elizabeth Tietjen, MPT OCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6773 Issued in AZ

Practice address

20325 N 51St Ave
Ste 146
Glendale, AZ 85308-5674

Phone

(623) 249-3216

Fax

(623) 249-3218

NPI assigned

May 19, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Multicare Health System

  • Neurological Surgery Physician
  • Tacoma, WA
  • NPI 1497766638
  Medicare reassignment Care Compare group NPD
• Multicare Health System

  • Community/Retail Pharmacy
  • Spokane, WA
  • NPI 1396594875
  NPD
• Multicare Health System

  • Pediatrics Physician
  • Federal Way, WA
  • NPI 1407409741
  NPD
• Accelerated Rehabilitation Centers of Phoenix LLC

  • Clinic/Center
  • Gilbert, AZ
  • NPI 1033676606

  Physical Therapist

  NPD (past)
• Balanced Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Litchfield Park, AZ
  • NPI 1225245749
  NPD (past)
• SLK Inc

  • Specialist
  • Peoria, AZ
  • NPI 1245266451
  NPD (past)
• Spooner Physical Therapy & Hand Rehab, PC

  • Physical Therapy Clinic/Center
  • Goodyear, AZ
  • NPI 1437370525
  NPD (past)
• Spooner Rehab, PC

  • Physical Therapist
  • Peoria, AZ
  • NPI 1225472533
  NPD (past)
• Accelerated Rehabilitation Centers of Phoenix LLC

  • Rehabilitation Clinic/Center
  • Oak Brook, IL
  • NPI 1033208822

  Physical Therapist

  NPD (past)
• Multicare Health System

  • Family Medicine Physician
  • Auburn, WA
  • NPI 1013969195

  Physical Therapist

  NPD (past)
• Olympic Sports and Spine Rehabilitation PS

  • Physical Therapist
  • Puyallup, WA
  • NPI 1558310375
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287360000000",
    "number": "1023061074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12917 W CAMPBELL AVE",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853405183",
            "telephone_number": "253-228-6828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20325 N 51ST AVE",
            "address_2": "STE 146",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853085674",
            "telephone_number": "623-249-3216",
            "fax_number": "623-249-3218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIETJEN",
        "first_name": "LAURA",
        "middle_name": "ELIZABETH",
        "credential": "MPT OCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2010-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "6773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "P00298975",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thunderbird Podiatry
• Thunderbird Treatment Center Inc
• Stephanie Thune, PHARM.D.
• Kathryn Marie Tidwell, PT
• Sierra Tietge
• Alex Tiller
• Stephanie Anne Tilley, FNP-C
• Tezlynn Tillmon
• Lelei Marie Time
• Tina N. Kastler, OD PC

• Physical Therapist in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.