Active NPI
Laurel Lee Tatge, PT
- Physical Therapist
- Green Valley, AZ
National Provider Identifier
1225087331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501000760
- Practice address
- 50 E Duval Rd
Suite 10
Green Valley, AZ 85614-4153 - Phone
- (520) 648-0270
- Fax
- (520) 625-1003
- NPI assigned
- May 8, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 5501000760 | MI | Primary |
Addresses
Primary practice location
50 E Duval Rd
Suite 10
Green Valley, AZ 85614-4153
Mailing address
50 E Duval Rd
Suite 10
Green Valley, AZ 85614-4153
Phone (520) 648-0270
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501000760 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Karazim Rehab Consultants | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Medicine & Rehabilitation Physician
- Farmington Hills, MI
- NPI 1497950612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379548800000",
"number": "1225087331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 E DUVAL RD",
"address_2": "SUITE 10",
"city": "GREEN VALLEY",
"state": "AZ",
"postal_code": "856144153",
"telephone_number": "520-648-0270",
"fax_number": "520-625-1003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 E DUVAL RD",
"address_2": "SUITE 10",
"city": "GREEN VALLEY",
"state": "AZ",
"postal_code": "856144153",
"telephone_number": "520-648-0270",
"fax_number": "520-625-1003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TATGE",
"first_name": "LAUREL",
"middle_name": "LEE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-08",
"last_updated": "2013-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501000760",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Green Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.