Tamara Waldum, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

LPT-31645 Issued in AZ

Practice address

4034 E Burns St
Tucson, AZ 85711-2807

Phone

(206) 755-0845

NPI assigned

Oct 28, 2024

Sex

Female

Sole proprietor

Yes

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)

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.

• Arizona Luna Care Physical Therapy, LLC

  • Physical Therapist
  • Peoria, AZ
  • NPI 1629698147
  NPD

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

{
    "created_epoch": "1730073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1962224352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4034 E BURNS ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857112807",
            "telephone_number": "206-755-0845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4034 E BURNS ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857112807",
            "telephone_number": "206-755-0845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDUM",
        "first_name": "TAMARA",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-28",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-31645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wal-Mart Stores, Inc.
• Wal-Mart Stores, Inc. Dba Wal-Mart
• Vanna Joyner Waldron, CNM
• Seth Michael Waldrop I
• Joseph John Waldschmitt, D.C.
• Erica N Walecka, MDIV, LPC, NCC
• Walgreen Co
• Walgreen Co
• Walgreen Co
• Walgreen Co

• Physical Therapist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; 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.