Individual provider Active NPI

Tammy Kay Nicholas, P.T.

  • Physical Therapist
  • Brookfield, WI
National Provider Identifier
1497851141
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6429-024 Issued in WI
Practice address
600 N Barker Rd
Brookfield, WI 53045-5919
Phone
(262) 754-3461
Fax
(262) 797-0730
NPI assigned
Sep 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 6429-024 WI Primary

Addresses

Primary practice location

600 N Barker Rd
Brookfield, WI 53045-5919

Mailing address

13825 W Burleigh Rd
Brookfield, WI 53005-3058
Phone (262) 754-3450

Other identifiers 1

IdentifierTypeStateIssuer
36117400MedicaidWI

Other names 1

  • Tammy Kay Seegers Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061027000478 WI Practitioner - Physical Therapist in Private Practice 5597781633 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Smart Clinic Limited PracticeGroup PAC ID 2264424977, 3 clinicians

Practice addresses (Care Compare)

13825 W Burleigh Rd
Brookfield, WI 53005-3058
Phone (262) 754-3450

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6429-024WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Smart Clinic Limited Practice Physical Therapist CurrentSince Jul 1, 2006 Accepting new patients

Locations

600 N Barker Rd
Brookfield, WI 53045
Phone (262) 432-3027

13825 W Burleigh Rd
Brookfield, WI 53005
Phone (262) 754-3450

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497851141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13825 W BURLEIGH RD",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530053058",
            "telephone_number": "262-754-3450",
            "fax_number": "262-754-3451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N BARKER RD",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530455919",
            "telephone_number": "262-754-3461",
            "fax_number": "262-797-0730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLAS",
        "first_name": "TAMMY",
        "middle_name": "KAY",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "6429-024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36117400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMMY",
            "last_name": "SEEGERS",
            "middle_name": "KAY",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brookfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.