Tara Szabo, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

99042471 Issued in IN

Practice address

1005 N Hickory Rd
South Bend, IN 46615-3723

Phone

(574) 233-5754

Fax

(574) 233-7406

NPI assigned

Jul 7, 2010

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• McDonald Physical Therapy

  • Clinic/Center
  • South Bend, IN
  • NPI 1063419026
  NPD (past)
• McDonald Physical Therapy and Sports Rehabilitation Center

  • Physical Therapy Assistant
  • South Bend, IN
  • NPI 1710863691
  NPD (past)

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

{
    "created_epoch": "1278460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278460800000",
    "number": "1114239118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 N HICKORY RD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466153723",
            "telephone_number": "574-233-5754",
            "fax_number": "574-233-7406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 N HICKORY RD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466153723",
            "telephone_number": "574-233-5754",
            "fax_number": "574-233-7406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZABO",
        "first_name": "TARA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-07",
        "last_updated": "2010-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IN",
            "license": "99042471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100351040",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Swansons Home Care
• Carly Sweat
• Margaret Mary Sweeney
• Thomas Sweeney, DO
• Sherri Swihart, MA
• Martin Ralph Szakaly, D.D.S.
• Amanda Szamecki, PTA
• Susan Jane Szczechowski, R.D., C.D., C.D.E.
• Andrea Szostek-Krupa
• Dale Frank Szpisjak, M.D.

• Physical Therapy Assistant in South Bend, IN
• Providers in South Bend, IN by specialty
• Physical Therapy Assistant in Indiana

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