Joel D Tenbrink, PT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-2077 Issued in ID

Practice address

2180 Ironwood Center Drive
Coeur D'Alene, ID 83814-2639

Phone

(208) 667-6264

Fax

(208) 664-4313

NPI assigned

Jul 26, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Mayo Medical School, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dry Creek Physical Therapy and Wellness PLLCGroup PAC ID 0042228512, 31 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dry Creek Physical Therapy & Wellness PLLC

  • Orthopedic Physical Therapist
  • Lehi, UT
  • NPI 1124109921
  Medicare reassignment Care Compare group NPD
• Ironwood Drive Physical Therapy, PA

  • Physical Therapist
  • Coeur D Alene, ID
  • NPI 1801812482
  NPD (past)
• Porto Uniao, Inc

  • Community/Behavioral Health Agency
  • Coeur D Alene, ID
  • NPI 1972774602
  NPD (past)

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278979200000",
    "number": "1871593483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2180 IRONWOOD CENTER DRIVE",
            "city": "COEUR D'ALENE",
            "state": "ID",
            "postal_code": "838142639",
            "telephone_number": "208-667-6264",
            "fax_number": "208-664-4313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 IRONWOOD CENTER DRIVE",
            "city": "COEUR D'ALENE",
            "state": "ID",
            "postal_code": "838142639",
            "telephone_number": "208-667-6264",
            "fax_number": "208-664-4313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENBRINK",
        "first_name": "JOEL",
        "middle_name": "D",
        "credential": "PT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2010-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00009604",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-2077",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "ID",
            "license": "AT-291",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7155104",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CG9010",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Alan Stoddard, DPT, OTR/L
• Heidi Jean Josenia Strong, AUD
• Shandray Surmeyer, CRC, COUNSELOR INTER
• Amanda Swindoll, LMSW
• Virginia Taft, OTR-L
• Francesca Terracciano, LPC
• Maureen E. Tiernan-Meech, PSYD
• Timber Ridge Industrial Therapy, PLLC
• Janice Lee Titherley, LMFT
• Michele Jean Unsworth, LCPC

• Physical Therapist in Coeur D'Alene, ID
• Providers in Coeur D'Alene, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.