Tara R Hutto, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT002077 Issued in KY

Practice address

5150 Village Square Dr
Paducah, KY 42001-9060

Phone

(270) 415-9575

Fax

(270) 415-9576

NPI assigned

Nov 8, 2005

Last updated

Dec 2, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291248000000",
    "number": "1093796062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7208",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420027208",
            "telephone_number": "270-415-9575",
            "fax_number": "270-415-9576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 VILLAGE SQUARE DR",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420019060",
            "telephone_number": "270-415-9575",
            "fax_number": "270-415-9576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTTO",
        "first_name": "TARA",
        "middle_name": "R",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-08",
        "last_updated": "2010-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "PT002077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1109154002",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000288348",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thelma R. Hunter
• Hurley Developmental Therapy
• Meghan Lyn Hurley II
• Mark H Hurt, LADC
• Monica R Hutchins, ARNP
• Laura Ighedesa
• Imac Medical of Kentucky PSC
• Infectious Diseases Associates PLLC
• Infinite Grace Wellness PLLC
• Monica Jo Inglish, APRN

• Physical Therapist in Paducah, KY
• Providers in Paducah, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; 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.