Tara L Becker, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

004040 Issued in IA

Practice address

226 Highway 69 N
Forest City, IA 50436-1538

Phone

(641) 585-1551

Fax

(641) 585-1551

NPI assigned

Jan 30, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Tara L Hermann Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Athletico LTD

  • Clinic/Center
  • Sioux Falls, SD
  • NPI 1801348263

  Physical Therapist

  NPD (past)
• Eastern Iowa Therapeutics PC

  • Physical Therapist
  • Chicago, IL
  • NPI 1023064144
  NPD (past)

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227657600000",
    "number": "1013988070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W WACKER DR",
            "address_2": "SUITE 1020",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606061216",
            "telephone_number": "312-640-0329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 HIGHWAY 69 N",
            "city": "FOREST CITY",
            "state": "IA",
            "postal_code": "504361538",
            "telephone_number": "641-585-1551",
            "fax_number": "641-585-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER",
        "first_name": "TARA",
        "middle_name": "L",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2008-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "6826",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "004040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BXBS",
            "identifier": "44G03BE",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "HERMANN",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Timothy L Ackarman, PA
• Acutechiro, LLC
• James E Amelsberg, LSW, LMHC
• Nikki Jean Arentson
• Gloria Basta
• Jenna Britson, P.T.
• James Lee Brockhohn, D.C.
• Brian Budach, PT, DPT, ATC, CSCS
• Josh Callow
• Byron H Carlson, MD

• Physical Therapist in Forest City, IA
• Providers in Forest City, IA by specialty
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2008; 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.