Timothy Trupke, PT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5384-024 Issued in WI

Practice address

3852 Creamery Rd
De Pere, WI 54115-9210

Phone

(920) 338-9670

Fax

(920) 338-9680

NPI assigned

Jan 4, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Full Circle Therapy and Wellness LLCGroup PAC ID 1052812914, 2 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.

• Full Circle Therapy and Wellness LLC

  • Physical Therapist
  • De Pere, WI
  • NPI 1104619550
  Medicare reassignment Care Compare group NPD
• Andrews Physical Therapy, SC

  • Physical Therapist
  • De Pere, WI
  • NPI 1487667192
  Medicare reassignment NPD

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1124175872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3852 CREAMERY RD",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541159210",
            "telephone_number": "920-338-9670",
            "fax_number": "920-338-9680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3852 CREAMERY RD",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541159210",
            "telephone_number": "920-338-9670",
            "fax_number": "920-338-9680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUPKE",
        "first_name": "TIMOTHY",
        "credential": "PT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "5384-024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40347200",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "5384-024",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATA MEMBER #",
            "identifier": "901497",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Briana Toraason
• Lori-Ann Torreano, M.D.
• Total Pursuit Physical Therapy & Performance
• Stephanie J Towle, MA CCC-SLP
• Alexandria Tressler
• Tundra Chiropractic, LLC
• Lisa M Tutskey, MS, LMFT
• Tracey M. Tyler, OTR
• United Seating and Mobility, LLC
• Unity Limited Partnership

• Physical Therapist in De Pere, WI
• Providers in De Pere, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; 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.