Individual provider Active NPI

Tamera J Phillips, PT

  • Physical Therapist
  • Des Moines, IA
National Provider Identifier
1750542650
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
004221 Issued in IA
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

Updated by the provider on Nov 9, 2023

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 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 Other name

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

LicenseStateTypeSpecialty
004221IAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physiotherapy Associates Inc Current Accepting new patients
Physiotherapy Associates Inc CurrentSince Mar 12, 2015 Accepting new patients
Physiotherapy Associates Inc CurrentSince Mar 12, 2015 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.

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.

Verify at the official NPI Registry.