Active NPI
Tamera J Phillips, PT
- Physical Therapist
- Des Moines, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 004221
- Practice address
- 450 Laurel St
Suite B
Des Moines, IA 50314-3045 - Phone
- (515) 323-6485
- Fax
- (515) 323-6486
- NPI assigned
- Jun 23, 2008
- 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 | 004221 | IA | Primary |
Addresses
Primary practice location
450 Laurel St
Suite B
Des Moines, IA 50314-3045
Mailing address
450 Laurel St Ste B
Des Moines, IA 50314-3045
Phone (515) 323-6485
Other names 1
- Tamera J Gawtry
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004221 | IA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physiotherapy Associates Inc | Current | Accepting new patients | |
| Physiotherapy Associates Inc | Current | Accepting new patients | |
| Physiotherapy Associates Inc | Current | Accepting new patients | |
| Eastern Iowa Therapeutics PC | Physical Therapist | Past | Accepting new patients |
| Athletico LTD | Physical Therapist | Past | Accepting new patients |
Locations
516 Nile Kinnick Dr S
Ste B
Adel, IA 50003
Phone (515) 478-7171
450 Laurel St
Ste B
Des Moines, IA 50314
Phone (515) 323-6485
450 Laurel St
Des Moines, IA 50314
Phone (515) 323-6485
1555 S 1st Ave
Iowa City, IA 52240
Phone (319) 248-6800
5900 NW 86th St
Ste 200
Johnston, IA 50131
Phone (515) 278-8151
Organizations & group practices 5
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.
-
- Physical Therapy Clinic/Center
- West Des Moines, IA
- NPI 1629008925
-
- Physical Therapy Clinic/Center
- Des Moines, IA
- NPI 1679632038
-
- Physical Therapy Clinic/Center
- Estero, FL
- NPI 1720039902
-
- Physical Therapist
- Chicago, IL
- NPI 1023064144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699488000000",
"number": "1750542650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 LAUREL ST STE B",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503143045",
"telephone_number": "515-323-6485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 LAUREL ST",
"address_2": "SUITE B",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503143045",
"telephone_number": "515-323-6485",
"fax_number": "515-323-6486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "TAMERA",
"middle_name": "J",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-23",
"last_updated": "2023-11-09",
"certification_date": "2023-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "004221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TAMERA",
"last_name": "GAWTRY",
"middle_name": "J",
"credential": "PT",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.