Active NPI
Tammy Lynn Reid, PT
- Physical Therapist
- South Milwaukee, WI
National Provider Identifier
1841499126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5747-024
- Practice address
- 3601 S Chicago Ave
South Milwaukee, WI 53172-3708 - Phone
- (414) 764-4100
- Fax
- (414) 764-9631
- NPI assigned
- Jul 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 5747-024 | WI | Primary |
Addresses
Primary practice location
3601 S Chicago Ave
South Milwaukee, WI 53172-3708
Mailing address
1247 N 85TH St
Wauwatosa, WI 53226-3251
Phone (414) 476-3132
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5747-024 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabcare Group East, LLC | Past | Accepting new patients |
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": "1184544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184544000000",
"number": "1841499126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1247 N 85TH ST",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532263251",
"telephone_number": "414-476-3132",
"fax_number": "414-476-0637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 S CHICAGO AVE",
"city": "SOUTH MILWAUKEE",
"state": "WI",
"postal_code": "531723708",
"telephone_number": "414-764-4100",
"fax_number": "414-764-9631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REID",
"first_name": "TAMMY",
"middle_name": "LYNN",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-16",
"last_updated": "2007-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "5747-024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.