Individual provider Active NPI

Tracy Anne Temmel, D.P.T.

  • Physical Therapist
  • Brewster, NY
National Provider Identifier
1528494499
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
052124 Issued in NY
Practice address
1 Starr Ridge Rd Ste 204
Brewster, NY 10509-4534
Phone
(845) 414-6161
Fax
(845) 520-9550
NPI assigned
Sep 23, 2013
Last updated
Feb 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40472 CA
Physical Therapist 225100000X 052124 NY Primary

Addresses

Primary practice location

1 Starr Ridge Rd Ste 204
Brewster, NY 10509-4534

Mailing address

PO Box 416501
Boston, MA 02241-6501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140923002323 CA Practitioner - Physical Therapist in Private Practice 2466671474 Reassigns benefits to 2 organizations
Practice locations: Carlsbad, CA
I20240306003717 NY Practitioner - Physical Therapist in Private Practice 2466671474 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Resolve Physical Therapy, P. C.Group PAC ID 3678985595, 7 clinicians

Practice addresses (Care Compare)

1128 State Route 17K
Suite 3
Montgomery, NY 12549-2270
Phone (845) 769-7777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
052124NYMDPharmacist
40472CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Resolve Physical Therapy, P. C. Physical Therapist CurrentSince Feb 13, 2025 Accepting new patients
Kinetic Physical Therapy CurrentSince Dec 1, 2020 Accepting new patients
Temmel Physical Therapy, PLLC Physical Therapist Current Accepting new patients
Kinetic Physical Therapy Current Accepting new patients
California Luna Care Physical Therapy PC Physical Therapist CurrentSince Oct 20, 2020 Accepting new patients
Gaspar Physical Therapy a Professional Corporation CurrentSince Jul 1, 2015 Accepting new patients
Ignite Phyziotherapy & Athletics Past Accepting new patients

Locations

6221 Metropolitan St
Ste 101
Carlsbad, CA 92009
Phone (760) 632-6942

16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 409-4167

981 Lomas Santa Fe Dr
Ste A
Solana Beach, CA 92075
Phone (858) 794-9995

1751 State Route 17A
Ste 1L
Florida, NY 10921
Phone (845) 769-7777

1128 State Route 17K
Ste 3
Montgomery, NY 12549
Phone (845) 769-7777

Organizations & group practices 8

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": "1379894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1528494499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416501",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022416501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 STARR RIDGE RD STE 204",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105094534",
            "telephone_number": "845-414-6161",
            "fax_number": "845-520-9550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEMMEL",
        "first_name": "TRACY",
        "middle_name": "ANNE",
        "credential": "D.P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-23",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "40472",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "052124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brewster, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; 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.