Active NPI
Tamara Jean Pommer
- Physical Therapist
- Pella, IA
National Provider Identifier
1740649300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 004867
- Practice address
- 405 Monroe St
Pella, IA 50219-1189 - Phone
- (641) 628-6623
- Fax
- (641) 621-2223
- NPI assigned
- Feb 11, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 004867 | IA | Primary |
Addresses
Primary practice location
405 Monroe St
Pella, IA 50219-1189
Mailing address
405 Monroe St
Pella, IA 50219-1189
Phone (641) 628-6623
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004867 | Other | IA | IOWA LICENSE |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455753600000",
"number": "1740649300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 MONROE ST",
"city": "PELLA",
"state": "IA",
"postal_code": "502191189",
"telephone_number": "641-628-6623",
"fax_number": "641-621-2223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 MONROE ST",
"city": "PELLA",
"state": "IA",
"postal_code": "502191189",
"telephone_number": "641-628-6623",
"fax_number": "641-621-2223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POMMER",
"first_name": "TAMARA",
"middle_name": "JEAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-11",
"last_updated": "2016-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "004867",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IOWA LICENSE",
"identifier": "004867",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pella, IA
- Kimberly Kay Pickett, LISW
- Heather Renee Pilcher, PTA, MSE, ATC, LAT
- Pine Rest Christian Mental Health Services
- Alyssa Plunkett, LMSW
- Catherine Elaine Pollock, RD LD
- Richard Dale Posthuma, MD
- Premise Health of Iowa Medical P C
- Premise Health of Iowa Medical P C
- Baylee Nicole Pritchard, OT
- Psychological Consulting & Assessment, P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.