Individual provider Active NPI

Taryn Elaine Hand, PT

  • Physical Therapist
  • Hiram, GA
National Provider Identifier
1083804413
Registry record updated Aug 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT009168 Issued in GA
Practice address
148 Bill Carruth Parkway
Suite 160
Hiram, GA 30141-3756
Phone
(470) 956-8990
Fax
(770) 443-7590
NPI assigned
Aug 1, 2007
Last updated
Aug 14, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT009168 GA Primary

Addresses

Primary practice location

148 Bill Carruth Parkway
Suite 160
Hiram, GA 30141-3756

Mailing address

793 Sawyer Rd
Marietta, GA 30062-2222
Phone (470) 644-0167

Other names 1

  • Taryn Lilley Former name

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

State licenses

LicenseStateTypeSpecialty
PT009168GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthosport Physical Therapy LLC Past Accepting new patients
Advance Rehabilitation and Consulting Physical Therapist Past Accepting new patients
Wellstar Health Ventures, LLC PastSince Oct 19, 2008 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376438400000",
    "number": "1083804413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "793 SAWYER RD",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300622222",
            "telephone_number": "470-644-0167",
            "fax_number": "770-563-0740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 BILL CARRUTH PARKWAY",
            "address_2": "SUITE 160",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301413756",
            "telephone_number": "470-956-8990",
            "fax_number": "770-443-7590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAND",
        "first_name": "TARYN",
        "middle_name": "ELAINE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-01",
        "last_updated": "2013-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT009168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARYN",
            "last_name": "LILLEY",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hiram, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; 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.