Tamara Lynn Vanlerberghe, LPTA

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

5502001656 Issued in MI

Practice address

396 Lake Nepessing Rd
Lapeer, MI 48446-2910

Phone

(810) 667-1962

Fax

(810) 667-9350

NPI assigned

Nov 30, 2011

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322611200000",
    "number": "1366719700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 E NEWARK RD",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484469408",
            "telephone_number": "810-728-6673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "396 LAKE NEPESSING RD",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484462910",
            "telephone_number": "810-667-1962",
            "fax_number": "810-667-9350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANLERBERGHE",
        "first_name": "TAMARA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LPTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-30",
        "last_updated": "2011-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MI",
            "license": "5502001656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Lapeer, MI
• Providers in Lapeer, MI by specialty
• Physical Therapy Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; 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.