Active NPI
Tammy Jean Fausset, PTA
- Physical Therapist
- Fremont, NE
National Provider Identifier
1396992335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 772
- Practice address
- 655 W 23Rd St
Fremont, NE 68025-2595 - Phone
- (402) 753-6130
- NPI assigned
- Aug 21, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 772 | NE | Primary |
Addresses
Primary practice location
655 W 23Rd St
Fremont, NE 68025-2595
Mailing address
655 W 23Rd St
Fremont, NE 68025-2595
Phone (402) 753-6130
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 772 | NE | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327017600000",
"number": "1396992335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "655 W 23RD ST",
"city": "FREMONT",
"state": "NE",
"postal_code": "680252595",
"telephone_number": "402-753-6130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 W 23RD ST",
"city": "FREMONT",
"state": "NE",
"postal_code": "680252595",
"telephone_number": "402-753-6130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAUSSET",
"first_name": "TAMMY",
"middle_name": "JEAN",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-21",
"last_updated": "2012-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "772",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fremont, NE
- Alicia Michelle Falcone, MS, PLMHP
- Family First Dental Associates of West Point, P.C. (Family 1st Dental of Fremont)
- Family First Dentalassocciates of West Point, P.C. (Family First Dental of Fremont -2)
- Family Transit LLC
- Naiyah Rae Farmer
- FCD Smiles, PC (Fremont Children's Dentistry)
- Mariah L Fein
- Gerald C Felt, MD
- Stacie Kendra Felton, PLMHP
- Christopher Ferdinand, AS HUMAN SERVICES
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.