NPIMap

Individual provider Active NPI

Thomas Norman Beine, DPT

  • Physical Therapist
  • Manitowoc, WI
National Provider Identifier
1548879786
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
15084-24 Issued in WI
Practice address
2210 Dufek Dr
Manitowoc, WI 54220-9356
Phone
(920) 652-0534
NPI assigned
Jul 23, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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 15084-24 WI Primary

Addresses

Primary practice location

2210 Dufek Dr
Manitowoc, WI 54220-9356

Mailing address

N108W14618 Bel Aire LN
Germantown, WI 53022-4312
Phone (262) 893-7645

Other practice location 1

533 E Calumet St # 2
Chilton, WI 53014-1649
Phone (920) 849-8529

Other identifiers 1

IdentifierTypeStateIssuer
100136746MedicaidWI

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address tbeine310305@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201006001194 WI Practitioner - Physical Therapist in Private Practice 0840619193 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aurora Advanced Healthcare, Inc.Group PAC ID 3375625833, 1,107 clinicians

Practice addresses (Care Compare)

7878 N 76TH St
Milwaukee, WI 53223-3914
Phone (414) 354-6434

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15084-24WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Advanced Healthcare Inc CurrentSince Jun 1, 2021 Accepting new patients
Aurora Advanced Healthcare, Inc. CurrentSince Jun 1, 2021 Accepting new patients

Locations

3003 W Good Hope Rd
Glendale, WI 53209
Phone (414) 352-3100

12203 N Corporate Pkwy
Mequon, WI 53092
Phone (262) 387-8200

7878 N 76th St
Milwaukee, WI 53223
Phone (414) 354-6434

Interoperability endpoints

  • Direct secure messaging: tbeine310305@direct.myadvocateaurora.org

Organizations & group practices 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1548879786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N108W14618 BEL AIRE LN",
            "city": "GERMANTOWN",
            "state": "WI",
            "postal_code": "530224312",
            "telephone_number": "262-893-7645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 DUFEK DR",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542209356",
            "telephone_number": "920-652-0534"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "533 E Calumet St # 2",
            "address_purpose": "LOCATION",
            "city": "Chilton",
            "state": "WI",
            "postal_code": "530141649",
            "country_code": "US",
            "telephone_number": "920-849-8529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEINE",
        "first_name": "THOMAS",
        "middle_name": "NORMAN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-23",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "15084-24",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100136746",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tbeine310305@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "533 E Calumet St # 2",
            "city": "Chilton",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530141649",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "533 E Calumet St # 2",
            "city": "Chilton",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530141649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Manitowoc, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.