Active NPI
Tammy G. Pantle, PT
- Physical Therapist
- Elmira, NY
National Provider Identifier
1174686786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 012302-1
- Practice address
- 555 E Market St
Elmira, NY 14901-3223 - Phone
- (607) 733-6541
- Fax
- (607) 737-1532
- NPI assigned
- Dec 18, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 012302-1 | NY | Primary |
Addresses
Primary practice location
555 E Market St
Elmira, NY 14901-3223
Mailing address
150 Broad St
Waverly, NY 14892-1361
Phone (607) 687-2495
Other names 1
- Tammy G. Roach
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Tammy.pantle@direct-guthrie.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012302-1 | NY | MD | Physical Therapist |
Interoperability endpoints
- tammy.pantle@direct-guthrie.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614902400000",
"number": "1174686786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 BROAD ST",
"city": "WAVERLY",
"state": "NY",
"postal_code": "148921361",
"telephone_number": "607-687-2495",
"fax_number": "607-565-2750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 E MARKET ST",
"city": "ELMIRA",
"state": "NY",
"postal_code": "149013223",
"telephone_number": "607-733-6541",
"fax_number": "607-737-1532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANTLE",
"first_name": "TAMMY",
"middle_name": "G.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-18",
"last_updated": "2021-03-05",
"certification_date": "2021-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "012302-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Tammy.pantle@direct-guthrie.org",
"affiliation": "N",
"endpointDescription": "Direct",
"address_1": "150 Broad St",
"city": "Waverly",
"state": "NY",
"country_code": "US",
"postal_code": "148921361",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "TAMMY",
"last_name": "ROACH",
"middle_name": "G.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Elmira, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.