Kyle Alan Tenboer, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

14413-24 Issued in WI

Practice address

19035 W Capitol Dr Ste 100
Brookfield, WI 53045-2755

Phone

(262) 695-6744

Fax

(262) 695-6466

NPI assigned

Aug 27, 2018

Sex

Male

Sole proprietor

No

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.

• Advantage Physical Therapy & Sports Rehab, LLC

  • Rehabilitation Clinic/Center
  • Burlington, WI
  • NPI 1881773463

  WI

  Medicare reassignment NPD
• Advantage Physical Therapy & Sports Rehab, LLC

  • Rehabilitation Clinic/Center
  • Salem, WI
  • NPI 1104497023
  NPD
• Advantage Physical Therapy & Sports Rehab, LLC

  • Rehabilitation Clinic/Center
  • Hayward, WI
  • NPI 1902556012
  NPD
• Dcdo, Inc.

  • Clinic/Center
  • Brookfield, WI
  • NPI 1376689414
  NPD
• Advantage Physical Therapy & Sports Rehab, LLC

  • Rehabilitation Clinic/Center
  • Pleasant Prairie, WI
  • NPI 1104497015
  NPD (past)
• Advantage PT & Sports Rehab LLC

  • Rehabilitation Clinic/Center
  • Franklin, WI
  • NPI 1164183018
  NPD (past)
• Advantage PT & Sports Rehab LLC

  • Rehabilitation Clinic/Center
  • Milwaukee, WI
  • NPI 1922769983
  NPD (past)
• Comprehensive Orthopaedics SC

  • Physical Therapy Clinic/Center
  • Kenosha, WI
  • NPI 1194611939

  Physical Therapist

  NPD (past)

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546905600000",
    "number": "1285115352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19035 W CAPITOL DR STE 100",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530452755",
            "telephone_number": "262-695-6744",
            "fax_number": "262-695-6466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19035 W CAPITOL DR STE 100",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530452755",
            "telephone_number": "262-695-6744",
            "fax_number": "262-695-6466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENBOER",
        "first_name": "KYLE",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-27",
        "last_updated": "2019-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "14413-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Ellen Teclaw, O.D.
• Seifu Teklemariam, RPH
• Dorota Halina Telega, M.D.
• Barbara Ann Temple, LPC
• Kelsey Tenaglia-Helm, PT
• Jeffrey Teplin, LCSW (MSW)
• Stacey Ter Maat, PTA
• Lynette Terhune, PT
• Hilary Kay Tesch, DNP
• Teske Dental LLC

• All providers in Brookfield, WI
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.