Tessa Doerksen

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

073956 Issued in IA

Practice address

200 W Railroad St
Storm Lake, IA 50588-2449

Phone

(712) 213-8184

NPI assigned

Nov 3, 2014

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Nicholson Physical Therapy, PLC

  • Physical Therapy Clinic/Center
  • Storm Lake, IA
  • NPI 1770715336
  NPD (past)

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

{
    "created_epoch": "1414972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414972800000",
    "number": "1255736260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W RAILROAD ST",
            "city": "STORM LAKE",
            "state": "IA",
            "postal_code": "505882449",
            "telephone_number": "712-213-8184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W RAILROAD ST",
            "city": "STORM LAKE",
            "state": "IA",
            "postal_code": "505882449",
            "telephone_number": "712-213-8184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOERKSEN",
        "first_name": "TESSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-03",
        "last_updated": "2014-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IA",
            "license": "073956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fred Dehaan, O.D.
• Michael A Dehner, MD
• Larry Joseph Dellwo, M.A.
• Jason Michael Dierking, M.D.
• Nyakhur Diew
• Cynthia Kay Dorr-Harthan, R.PH.
• Daniel E. Douglas, D.D.S.
• DP & B Inc
• Dr. John a. Vaubel, P.C.
• Timm Dunn, R.PH

• Physical Therapy Assistant in Storm Lake, IA
• Providers in Storm Lake, IA by specialty
• Physical Therapy Assistant in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.