Tamara Neubauer-Gold, L.M.T.

Primary specialty

MechanotherapistTaxonomy code 172M00000X

License

227.004338 Issued in IL

Practice address

10638 Wheatlands Way
Huntley, IL 60142-4010

Phone

(773) 771-1875

NPI assigned

Apr 5, 2012

Last updated

Apr 5, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1333584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333584000000",
    "number": "1912263732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10638 WHEATLANDS WAY",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601424010",
            "telephone_number": "773-771-1875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10638 WHEATLANDS WAY",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601424010",
            "telephone_number": "773-771-1875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEUBAUER-GOLD",
        "first_name": "TAMARA",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-05",
        "last_updated": "2012-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "IL",
            "license": "227.004338",
            "primary": false
        },
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "IL",
            "license": "227.004338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mechanotherapist in Huntley, IL
• Providers in Huntley, IL by specialty
• Mechanotherapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; 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.