Tara Rene Dull, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9548024 Issued in WI

Practice address

626 N Meadowbrook LN
Waunakee, WI 53597-2830

Phone

(608) 849-5881

NPI assigned

Jul 25, 2007

Last updated

Jul 25, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fox Rehabilitation Services Wi LLCGroup PAC ID 1658647581, 144 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Fox Rehabilitation Services Wi LLC

  • Physical Therapist
  • Milwaukee, WI
  • NPI 1518483973
  Medicare reassignment Care Compare group NPD
• Aegis Group Practice LLC

  • Physical Therapist
  • Onalaska, WI
  • NPI 1306336565
  Medicare reassignment NPD
• Aegis Group Practice LLC

  • Physical Therapist
  • Colby, WI
  • NPI 1881263606
  NPD
• Aegis Group Practice LLC

  • Physical Therapist
  • Indian Harbour Beach, FL
  • NPI 1932072030
  NPD

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185321600000",
    "number": "1104016385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 N MEADOWBROOK LN",
            "city": "WAUNAKEE",
            "state": "WI",
            "postal_code": "535972830",
            "telephone_number": "608-849-5881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 N MEADOWBROOK LN",
            "city": "WAUNAKEE",
            "state": "WI",
            "postal_code": "535972830",
            "telephone_number": "608-849-5881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DULL",
        "first_name": "TARA",
        "middle_name": "RENE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-25",
        "last_updated": "2007-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "9548024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dean Retail Services, Inc. (SSM Health Davis Duehr Dean Eye Care - Waunakee)
• Twila Ann Dekanich
• Deborah Jane Dennis, PHYSICAL THERAPIST
• Elizabeth A Dillon, OTR
• Noelle K. Dowling, MD
• Nikara Durst, LPC
• Suzanne J Dynneson, APNP
• Kristin Lynn Eklof, DPT
• William Edward Emmons, R. PH.
• Kristin Ensminger, LCSW

• Physical Therapist in Waunakee, WI
• Providers in Waunakee, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.