MATTHEW TEMBROCK (NPI# 1669829164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669829164 |
| Entity Type | Individual |
| Full Name | MATTHEW TEMBROCK |
| Practice Address |
251 County Road 120 Suite A Saint Cloud MN 56303-4872 |
| Practice Telephone | 3202595429 |
| Practice Fax Number | 3202408905 |
| Mailing Telephone | 3202595429 |
| Mailing Fax Number | 3202408905 |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2016-08-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 10472 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225100000X | Physical Therapist | 2305210154 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MEDICA | 0064-0032705 | 01 |
| Street Address |
251 COUNTY ROAD 120 SUITE A |
| City | SAINT CLOUD |
| State | MN |
| Zip Code | 56303-4872 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285630145 | Traese Yolanda Kuhl | Family Medicine | 251 County Road 120, Saint Cloud, MN 56303-4872 | 2005-06-24 |
| 1205435773 | Cassandra Lee Ackerman | Nurse Practitioner | 251 County Road 120, Saint Cloud, MN 56303-4872 | 2020-10-25 |
| 1164040804 | Jaren Steven Lukach | Nurse Practitioner | 251 County Road 120, Saint Cloud, MN 56303-4872 | 2020-07-09 |
| 1164055505 | Anne Elizabeth Cullen | Physician Assistant | 251 County Road 120, Saint Cloud, MN 56303-4872 | 2020-02-13 |
| 1952870339 | Ellyn Marie Phearman | Physician Assistant | 251 County Road 120, Saint Cloud, MN 56303-4872 | 2018-11-15 |
| 1528535390 | Kellee Rucks | Family Medicine | 251 County Road 120, Saint Cloud, MN 56303-4872 | 2018-10-30 |
| 1700399649 | Joan Marie Kotila | Registered Nurse | 251 County Road 120, Saint Cloud, MN 56303-4872 | 2017-11-14 |
| 1689196339 | Centracare Clinic | Clinic/Center | 251 County Road 120, Saint Cloud, MN 56303-4872 | 2017-07-14 |
| 1952849069 | Christina Ringsmuth Mohs | Physician Assistant | 251 County Road 120, Saint Cloud, MN 56303-4872 | 2017-02-09 |
| 1225576598 | Jessica Barto | Nurse Practitioner | 251 County Road 120, Saint Cloud, MN 56303-4872 | 2017-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800463 | Daniel P Lahr | Radiologic Technologist | St Cloud Va Health Care System, 4801 Veterans Drive, St Cloud, MN 56303 | 2020-08-07 |
| 1730798398 | County of Stearns | Case Management | 705 Courthouse Square, St Cloud, MN 56303 | 2020-07-29 |
| 1669007126 | Aflah Transportation LLC | Non-emergency Medical Transport (VAN) | 3316 3rd Street North, Suite 129, Saint Cloud, MN 56303 | 2020-03-05 |
| 1609420942 | Stephanie Lynne Metzger | Nurse Practitioner | Centracare Clinic Riverc Ampus/nephrology, 1200 Sixth Ave North, St. Cloud, MN 56303 | 2019-07-25 |
| 1306406947 | Willow Tree Acupuncture LLC | Acupuncturist | 203 Cooper Ave N Suite 160, St. Cloud, MN 56303 | 2019-06-17 |
| 1821553520 | Alan Melvin Hoeper | Nurse Anesthetist, Certified Registered | Centracare Clinic Anesthesiology, 3701 12th St N, Suite 202, St. Cloud, MN 56303 | 2019-02-06 |
| 1437644465 | Brianna Larissa Justin | Speech-Language Pathologist | St. Cloud Hospital, 1406 6th Avenue N, St. Cloud, MN 56303 | 2018-06-22 |
| 1780186486 | Simplicity Health Pa | Family Medicine | 1511 Northway Dr Ste 103, Saint Cloud, MN 56303 | 2018-03-08 |
| 1639682925 | Dereje Beyene | Respiratory Therapist, Certified | 1406 15th Street North, Saint Cloud, MN 56303 | 2017-11-09 |
| 1740792761 | Lisa Ann Horner | Nurse Practitioner | 1555 Northway Drive #110, Centracare Complex Care Clinic, St Cloud, MN 56303 | 2017-10-31 |
| Find all providers in zip 56303 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003421199 | Nicole Carpenter | Physical Therapist | 2029 Hickory Tree Rd, Saint Cloud, FL 34772-8906 | 2020-09-15 |
| 1730797333 | Lisa Hickson | Physical Therapist | 6820 Bay Shore Dr, Saint Cloud, FL 34771-9552 | 2020-07-20 |
| 1407232176 | Derek Harold Swenson | Physical Therapist | 1894 37th St Se, Saint Cloud, MN 56304-9508 | 2015-08-05 |
| 1225455777 | Stephanie Horvath | Physical Therapist | 3160 Tohopekaliga Dr, Saint Cloud, FL 34772-7644 | 2014-03-22 |
| 1881982858 | Melissa J Mccarthy | Physical Therapist | 1521 Northway Dr Ste 116, Saint Cloud, MN 56303-1274 | 2011-07-12 |
| 1356652861 | Kristina Mary Wakeman | Physical Therapist | St Cloud Hospital, 1406 6th Avenue North, Saint Cloud, MN 56303-1901 | 2010-06-30 |
| 1104952605 | Petric Mar Dichoso Balbontin | Physical Therapist | 3250 Pawleys Loop N, Saint Cloud, FL 34769-7103 | 2007-02-26 |
| 1972646719 | Carole Mallonee Moffitt | Physical Therapist | 1361 E Irlo Bronson Memorial Hwy, Saint Cloud, FL 34771-5823 | 2007-02-14 |
| 1598826083 | Martha Kathleen Jarvis | Physical Therapist | 4237 13th St, Saint Cloud, FL 34769-6732 | 2006-12-12 |
| 1386752517 | Criseyde Chernavski | Physical Therapist | 3201 Budinger Ave, Saint Cloud, FL 34769-7203 | 2006-08-28 |
| Find all providers in SAINT CLOUD | ||||
| City | SAINT CLOUD |
| Zip Code | 56303 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.