Individual provider Active NPI

Richard Glen Tamplen, P.T.A.

  • Physical Therapy Assistant
  • Lubbock, TX
National Provider Identifier
1700291184
Registry record updated Jun 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2084903 Issued in TX
Practice address
25 Briercroft Office Park
Lubbock, TX 79412-3011
Phone
(806) 795-7433
NPI assigned
Jun 24, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2084903 TX Primary

Addresses

Primary practice location

25 Briercroft Office Park
Lubbock, TX 79412-3011

Mailing address

25 Briercroft Office Park
Lubbock, TX 79412-3011
Phone (806) 795-7433

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

LicenseStateTypeSpecialty
2084903TXMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403568000000",
    "number": "1700291184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 BRIERCROFT OFFICE PARK",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794123011",
            "telephone_number": "806-795-7433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 BRIERCROFT OFFICE PARK",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794123011",
            "telephone_number": "806-795-7433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMPLEN",
        "first_name": "RICHARD",
        "middle_name": "GLEN",
        "name_prefix": "Mr.",
        "credential": "P.T.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-24",
        "last_updated": "2014-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2084903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.