Temple Ergonomics LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9723-024 Issued in WI

Legal business name

TEMPLE ERGONOMICS LLC

Practice address

4835 N Cherryvale Ave
Appleton, WI 54913-9383

Phone

(920) 427-0350

NPI assigned

Aug 21, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Gerald Theodore Tate, M.P.T.NPI 1396747010

Title

President

Phone

(920) 427-0350

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Temple Ergonomics Home Physical Therapy LLC Other name

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gerald T Tate, PT

  • Physical Therapist
  • Appleton, WI
  • NPI 1396747010
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366588800000",
    "number": "1548375140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4835 N CHERRYVALE AVE",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549139383",
            "telephone_number": "920-427-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4835 N CHERRYVALE AVE",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549139383",
            "telephone_number": "920-427-0350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEMPLE ERGONOMICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2013-04-22",
        "status": "A",
        "authorized_official_last_name": "TATE",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "THEODORE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-427-0350",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "9723-024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PTAN",
            "identifier": "WI1702001",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "WI1702",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Temple Ergonomics Home Physical Therapy LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Heidi Ann Teal, MSCCCSLP
• Alexa Jordan Teerlinck, MD
• Mary Elizabeth Tegtmeier, M.S.CCC/SLP
• Lisa Ann Teich, OTR
• Teleoptometric Service, P.C.
• Emma Tencate, APSW
• Jennifer Lynn Tennessen, SAC-IT
• Maggie Maureen Tennie
• Tenor Family Dentistry of Appleton
• Patricia Ann Tenor, COTA

• Physical Therapist in Appleton, WI
• Providers in Appleton, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.