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

Last updated

Jan 8, 2019By the provider in NPPES

Sex

Male

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

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/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advantage Physical Therapy & Sports Rehab, LLC

  dba CORA Physical Therapy - Burlington

  • Rehabilitation Clinic/Center
  • Burlington, WI
  • NPI 1881773463
  Medicare reassignment NPD
• Advantage Physical Therapy & Sports Rehab, LLC

  dba CORA Physical Therapy - Paddock Lake

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

  dba CORA Physical Therapy - Hayward

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

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

  dba CORA Physical Therapy - Pleasant Prairie

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

  dba CORA Physical Therapy - Franklin

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

  dba CORA Physical Therapy - MLK

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

  dba Comprehensive Orthopaedics Advanced Imaging and Rehab Center

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

  Physical Therapist

  NPD (past)

The complete NPPES 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 (Aspen Dental)

• Physical Therapist in Brookfield, WI
• Providers in Brookfield, WI by specialty
• 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.