Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tanielle Summerill, PTA

Individual provider Physical Therapy Assistant · NPI 1447351564

Tanielle Summerill, PTA is a Physical Therapy Assistant in Wauwatosa, Wisconsin. Licensed in Idaho and Wisconsin. Registered with an NPI since 2006.

Licensed in
ID, WI
In the registry since
2006
Specialties on file
2
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

2626 N Wauwatosa Ave
Wauwatosa, WI 53213-1137
Phone: (414) 774-7794
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 990-019 (WI)
Physical Therapy Assistant Taxonomy 225200000X · Licence PTA-300 (ID)

Record details

NPI number1447351564
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedSeptember 25, 2006
Last updated in NPPESJuly 8, 2007
Mailing address242 N 111th St, Wauwatosa, WI 53226-4111

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