Active NPI
Tara Sperry
- Occupational Therapist
- Tacoma, WA
National Provider Identifier
1013345008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT60096143
- Practice address
- 10625 Pacific Ave S
Ste B
Tacoma, WA 98444-6065 - Phone
- (253) 302-5074
- NPI assigned
- Oct 29, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT60096143 | WA | Primary |
Addresses
Primary practice location
10625 Pacific Ave S
Ste B
Tacoma, WA 98444-6065
Mailing address
9422 McKinley Ave
Tacoma, WA 98445-2166
Phone (253) 495-9848
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT60096143 | WA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457654400000",
"number": "1013345008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9422 MCKINLEY AVE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984452166",
"telephone_number": "253-495-9848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10625 PACIFIC AVE S",
"address_2": "STE B",
"city": "TACOMA",
"state": "WA",
"postal_code": "984446065",
"telephone_number": "253-302-5074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPERRY",
"first_name": "TARA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-10-29",
"last_updated": "2016-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "OT60096143",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.