Individual provider Active NPI

Tamara Watson Nordbeck, B.S., MPT

  • Physical Therapist
  • Novi, MI
National Provider Identifier
1760843296
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501009632 Issued in MI
Practice address
41850 W 11 Mile Rd Ste 110
Novi, MI 48375-1857
Phone
(248) 719-7002
Fax
(734) 468-0160
NPI assigned
Mar 10, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 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 5501009632 MI Primary

Addresses

Primary practice location

41850 W 11 Mile Rd Ste 110
Novi, MI 48375-1857

Mailing address

27728 Perth St
Livonia, MI 48154-4667
Phone (734) 497-3739

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
Credentials
Bachelor of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Pathways, LLC CurrentSince Jul 6, 2023 Accepting new patients

Locations

39300 W 12 Mile Rd
Ste 105
Farmington Hills, MI 48331
Phone (248) 719-7002

41850 W 11 Mile Rd
Ste 110
Novi, MI 48375
Phone (248) 514-4474

Organizations & group practices 1

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": "1457568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1760843296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27728 PERTH ST",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481544667",
            "telephone_number": "734-497-3739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41850 W 11 MILE RD STE 110",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751857",
            "telephone_number": "248-719-7002",
            "fax_number": "734-468-0160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORDBECK",
        "first_name": "TAMARA",
        "middle_name": "WATSON",
        "name_prefix": "Mrs.",
        "credential": "B.S., MPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-10",
        "last_updated": "2023-05-03",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501009632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.