Individual provider Active NPI

Mindy Allbritton Tarrant, OTR/L

  • Pediatric Occupational Therapist
  • Vestavia, AL
National Provider Identifier
1023400561
Registry record updated Feb 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
1159 Issued in AL
Practice address
608 Paden Dr
Vestavia, AL 35226-2820
Phone
(205) 451-5683
NPI assigned
Feb 20, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 1159 AL
Physical Rehabilitation Occupational Therapist 225XP0019X 1159 AL
Pediatric Occupational Therapist 225XP0200X 1159 AL Primary

Addresses

Primary practice location

608 Paden Dr
Vestavia, AL 35226-2820

Mailing address

608 Paden Dr
Vestavia, AL 35226-2820
Phone (205) 451-5683

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180716001620 AL Practitioner - Occupational Therapist in Private Practice 9234486770 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1159ALMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy South LLC Fultondale Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1424390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424390400000",
    "number": "1023400561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 PADEN DR",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352262820",
            "telephone_number": "205-451-5683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 PADEN DR",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352262820",
            "telephone_number": "205-451-5683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARRANT",
        "first_name": "MINDY",
        "middle_name": "ALLBRITTON",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-20",
        "last_updated": "2015-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AL",
            "license": "1159",
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "AL",
            "license": "1159",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "AL",
            "license": "1159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestavia, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.