Stacy Brooke Tarrh, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501013066 Issued in MI

Practice address

65 S Main St Ste C
Rockford, MI 49341-1287

Phone

(616) 866-8084

Fax

(616) 866-8085

NPI assigned

Oct 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Stacy Brooke Olson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Health Motion Physical Therapy Services Inc

  • Physical Therapy Clinic/Center
  • Kentwood, MI
  • NPI 1992817316

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542240000000",
    "number": "1013006550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 43RD ST SE",
            "address_2": "SUITE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495083772",
            "telephone_number": "616-281-1144",
            "fax_number": "616-281-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 S MAIN ST STE C",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493411287",
            "telephone_number": "616-866-8084",
            "fax_number": "616-866-8085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARRH",
        "first_name": "STACY",
        "middle_name": "BROOKE",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2018-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501013066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "5501013066",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACY",
            "last_name": "OLSON",
            "middle_name": "BROOKE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Swan Optometry Services, PC
• Teri Lynn Sweeney
• Michael Galen Swinger, PT
• Abby Lynn Synhorst, RN
• Kathryn Szetela
• Rachael Lynn Breinling Tax, LAC
• Carleshia R Taylor, BEHAVIOR TECHNICIAN
• Therese Marie Taylor
• Macey Louise Tenbrink, BEHAVIOR TECHNICIAN
• Kimberly Diane Terry

• Physical Therapist in Rockford, MI
• Providers in Rockford, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2018; 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.