Individual provider Active NPI

Tamara M Weber, PT

  • Physical Therapist
  • Prineville, OR
National Provider Identifier
1326192212
Registry record updated Jun 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2935 Issued in OR
Practice address
425 N Main St
Prineville, OR 97754-1855
Phone
(541) 416-7476
Fax
(541) 416-7478
NPI assigned
Jan 22, 2007
Last updated
Jun 1, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2935 OR Primary

Addresses

Primary practice location

425 N Main St
Prineville, OR 97754-1855

Mailing address

805 SW Industrial Way
Suite 3
Bend, OR 97702-1093
Phone (541) 585-2529

Other identifiers 1

IdentifierTypeStateIssuer
022551MedicaidOR

Other names 1

  • Tamara M Tuttle Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040427000764 OR Practitioner - Physical Therapist in Private Practice 0749277382 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1717 NE 2ND St
Redmond, OR 97756-8249
Phone (541) 504-2350

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2935ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rebound Physical Therapy Limited Partnership Physical Therapist CurrentSince Mar 1, 2016 Accepting new patients
Rebound Physical Therapy Limited Partnership Physical Therapist CurrentSince Mar 1, 2016 Accepting new patients

Locations

1303 NE Cushing Dr
Ste 150
Bend, OR 97701
Phone (541) 382-7875

805 SW Industrial Way
Ste 3
Bend, OR 97702
Phone (541) 323-5864

1590 NE 3rd St
Ste 2
Prineville, OR 97754
Phone (541) 416-7476

425 N Main St
Prineville, OR 97754
Phone (541) 416-7476

1315 NW 4th St
Apt B
Redmond, OR 97756
Phone (541) 504-2350

1717 NE 2nd St
Redmond, OR 97756
Phone (541) 332-9045

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590969600000",
    "number": "1326192212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 SW INDUSTRIAL WAY",
            "address_2": "SUITE 3",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021093",
            "telephone_number": "541-585-2529",
            "fax_number": "541-585-2536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 N MAIN ST",
            "city": "PRINEVILLE",
            "state": "OR",
            "postal_code": "977541855",
            "telephone_number": "541-416-7476",
            "fax_number": "541-416-7478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "TAMARA",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "2935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022551",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMARA",
            "last_name": "TUTTLE",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Prineville, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.