Individual provider Active NPI

Tara Lynn Cepaitis, PHYSICAL THERAPIST

  • Orthopedic Physical Therapist
  • Olney, MD
National Provider Identifier
1104869932
Registry record updated Oct 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
19507 Issued in MD
Practice address
17904 Georgia Avenue
Suite 215
Olney, MD 20832
Phone
(301) 232-1050
Fax
(301) 232-1044
NPI assigned
Jun 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 19507 MD
Orthopedic Physical Therapist 2251X0800X 19507 MD Primary

Addresses

Primary practice location

17904 Georgia Avenue
Suite 215
Olney, MD 20832

Mailing address

17904 Georgia Avenue
Suite 215
Olney, MD 20832
Phone (301) 232-1050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050209000868 DC Practitioner - Physical Therapist in Private Practice 8123079837 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David L. Higgins, M.D., P.C.Group PAC ID 6204825623, 6 clinicians

Practice addresses (Care Compare)

17904 Georgia Ave
Suite 215
Olney, MD 20832-2277
Phone (301) 232-1050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19507MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
David L. Higgins, M.D., P.C. CurrentSince Nov 17, 2004 Accepting new patients
James R. Clarke, P.T.,P.a. Physical Therapist PastSince Sep 28, 2022 Accepting new patients

Locations

17904 Georgia Ave
Ste 215
Olney, MD 20832
Phone (301) 232-1050

11820 Parklawn Dr
Ste 180
Rockville, MD 20852
Phone (301) 770-1306

Organizations & group practices 2

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381104000000",
    "number": "1104869932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17904 GEORGIA AVENUE",
            "address_2": "SUITE 215",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "20832",
            "telephone_number": "301-232-1050",
            "fax_number": "310-232-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17904 GEORGIA AVENUE",
            "address_2": "SUITE 215",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "20832",
            "telephone_number": "301-232-1050",
            "fax_number": "301-232-1044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEPAITIS",
        "first_name": "TARA",
        "middle_name": "LYNN",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2013-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "19507",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MD",
            "license": "19507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olney, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2013; 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.