Individual provider Active NPI

Tamera E Easterday, P.T.

  • Physical Therapist
  • Tehachapi, CA
National Provider Identifier
1396065892
Registry record updated Sep 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT12756 Issued in CA
Practice address
20241 W Valley Blvd
Suite D
Tehachapi, CA 93561-8746
Phone
(661) 822-0811
Fax
(661) 822-0905
NPI assigned
Jun 7, 2010
Last updated
Sep 14, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2010

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 PT12756 CA Primary

Addresses

Primary practice location

20241 W Valley Blvd
Suite D
Tehachapi, CA 93561-8746

Mailing address

20241 W Valley Blvd
Suite D
Tehachapi, CA 93561-8746
Phone (661) 822-0811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT12756CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Schall Chiropractic Inc Past Accepting new patients
Advanced Health & Wellness PastSince Dec 1, 2010 Accepting new patients

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": "1275868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284422400000",
    "number": "1396065892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20241 W VALLEY BLVD",
            "address_2": "SUITE D",
            "city": "TEHACHAPI",
            "state": "CA",
            "postal_code": "935618746",
            "telephone_number": "661-822-0811",
            "fax_number": "661-822-0905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20241 W VALLEY BLVD",
            "address_2": "SUITE D",
            "city": "TEHACHAPI",
            "state": "CA",
            "postal_code": "935618746",
            "telephone_number": "661-822-0811",
            "fax_number": "661-822-0905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASTERDAY",
        "first_name": "TAMERA",
        "middle_name": "E",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-07",
        "last_updated": "2010-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT12756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tehachapi, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; 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.