Active NPI
Tresemer Physical Therapy Inc
- Physical Therapist
- Centerville, IA
National Provider Identifier
1982773073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 00822
- Legal business name
- TRESEMER PHYSICAL THERAPY INC
- Practice address
- 612 E Franklin St
Centerville, IA 52544-1511 - Phone
- (641) 856-2515
- NPI assigned
- Nov 6, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Raymond Mark Tresemer, PT
- Title
- President
- Phone
- (641) 856-2515
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 00822 | IA | Primary |
Addresses
Primary practice location
612 E Franklin St
Centerville, IA 52544-1511
Mailing address
612 E Franklin St
Centerville, IA 52544-1511
Phone (641) 856-2515
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapy Assistant
- Centerville, IA
- NPI 1063555290
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1982773073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "612 E FRANKLIN ST",
"city": "CENTERVILLE",
"state": "IA",
"postal_code": "525441511",
"telephone_number": "641-856-2515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "612 E FRANKLIN ST",
"city": "CENTERVILLE",
"state": "IA",
"postal_code": "525441511",
"telephone_number": "641-856-2515"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRESEMER PHYSICAL THERAPY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-06",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "TRESEMER",
"authorized_official_first_name": "RAYMOND",
"authorized_official_middle_name": "MARK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "641-856-2515",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "IA",
"license": "00822",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Centerville, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.