Stacey Ter Maat, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1422 Issued in WI

Practice address

19395 W Capitol Dr Ste 200
Brookfield, WI 53045-2736

Phone

(262) 923-7101

NPI assigned

Dec 14, 2007

Last updated

Nov 9, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Greenfield Rehabilitation Agency, Inc.

  dba Rehab Resources

  • Physical Therapist
  • Brookfield, WI
  • NPI 1790230571
  NPD (past)
• Greenfield Rehabilitation Agency, Inc.

  • Physical Therapist
  • Brookfield, WI
  • NPI 1811907462
  NPD (past)

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

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1841473782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19395 W CAPITOL DR STE 200",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530452736",
            "telephone_number": "262-923-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19395 W CAPITOL DR STE 200",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530452736",
            "telephone_number": "262-923-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TER MAAT",
        "first_name": "STACEY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-14",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "1422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorota Halina Telega, M.D.
• Barbara Ann Temple, LPC
• Kelsey Tenaglia-Helm, PT
• Kyle Alan Tenboer, DPT
• Jeffrey Teplin, LCSW (MSW)
• Lynette Terhune, PT
• Hilary Kay Tesch, DNP
• Teske Dental LLC (Aspen Dental)
• TGL Wellness
• Lormee Thao

• Physical Therapy Assistant in Brookfield, WI
• Providers in Brookfield, WI by specialty
• Physical Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; 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.