Tara J Scogin, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

120113 Issued in AK

Practice address

1275 Sadler Way
Suite 201
Fairbanks, AK 99701-3175

Phone

(907) 374-0992

NPI assigned

Mar 9, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Tara J Northington Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1489017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489017600000",
    "number": "1033650130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1917 ABBOTT RD STE 200",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995073449",
            "telephone_number": "907-743-8218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 SADLER WAY",
            "address_2": "SUITE 201",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997013175",
            "telephone_number": "907-374-0992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOGIN",
        "first_name": "TARA",
        "middle_name": "J",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-09",
        "last_updated": "2017-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "120113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "NORTHINGTON",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kristen Erin Schupp, LMT
• Nancy Lee Schupp, ANP
• Perrin Schuster
• Christine Lynn Schut, LCSW
• Morgan Elizabeth Schutz, M.S., CCC-SLP
• Ian Charles Scott
• Marjory A. Scown
• Kim CHI Seagle, RN
• Faith Ann Seale
• Philip C Seamon II

• Physical Therapist in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Physical Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; 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.