Active NPI
Tarah Cullen, OTR/L
- Occupational Therapist
- West Burlington, IA
National Provider Identifier
1073913307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 002177
- Practice address
- 411 W Agency Rd
Suite 1
West Burlington, IA 52655-1704 - Phone
- (319) 752-7727
- Fax
- (319) 752-7774
- NPI assigned
- Aug 22, 2014
- Sex
- Female
- Sole proprietor
- No
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 | 002177 | IA | Primary |
Addresses
Primary practice location
411 W Agency Rd
Suite 1
West Burlington, IA 52655-1704
Mailing address
411 W Agency Rd
Suite 1
West Burlington, IA 52655-1704
Phone (319) 752-7727
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Conilogue PT LLC | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
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": "1408665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408665600000",
"number": "1073913307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 W AGENCY RD",
"address_2": "SUITE 1",
"city": "WEST BURLINGTON",
"state": "IA",
"postal_code": "526551704",
"telephone_number": "319-752-7727",
"fax_number": "319-752-7774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 W AGENCY RD",
"address_2": "SUITE 1",
"city": "WEST BURLINGTON",
"state": "IA",
"postal_code": "526551704",
"telephone_number": "319-752-7727",
"fax_number": "319-752-7774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CULLEN",
"first_name": "TARAH",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-22",
"last_updated": "2014-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IA",
"license": "002177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Burlington, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.