Individual provider Active NPI

Tara McGann Friedman, DPT

  • Orthopedic Physical Therapist
  • Daly City, CA
National Provider Identifier
1114176690
Registry record updated Sep 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
34892 Issued in CA
Practice address
2945 Junipero Serra Blvd
Daly City, CA 94014-2549
Phone
(650) 755-8830
Fax
(650) 755-8147
NPI assigned
Sep 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 34892 CA Primary

Addresses

Primary practice location

2945 Junipero Serra Blvd
Daly City, CA 94014-2549

Mailing address

2945 Junipero Serra Blvd
Daly City, CA 94014-2549
Phone (650) 755-8830

Other names 1

  • Tara Kathleen McGann 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
34892CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Local Motion Physical Therapy Inc Orthopedic CurrentSince Dec 31, 2012 Accepting new patients
P.S.M.R.C., LLC Orthopedic PastSince Sep 18, 1995 Accepting new patients
Peninsula Hand Therapy, Inc. PastSince Jan 1, 2003 Accepting new patients

Locations

1628 California St
#A
San Francisco, CA 94109
Phone (415) 694-9451

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348704000000",
    "number": "1114176690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2945 JUNIPERO SERRA BLVD",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940142549",
            "telephone_number": "650-755-8830",
            "fax_number": "650-755-8147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2945 JUNIPERO SERRA BLVD",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940142549",
            "telephone_number": "650-755-8830",
            "fax_number": "650-755-8147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "TARA",
        "middle_name": "MCGANN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-09",
        "last_updated": "2012-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "34892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "MCGANN",
            "middle_name": "KATHLEEN",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Daly City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; 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.