Individual provider Active NPI

Vanessa Modenese Tarr

  • Physical Therapist
  • Miami, FL
National Provider Identifier
1114733177
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT38100 Issued in FL
Practice address
28 W Flagler St Ste 901
Miami, FL 33130-1894
Phone
(305) 331-2277
NPI assigned
Dec 5, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT38100 FL Primary

Addresses

Primary practice location

28 W Flagler St Ste 901
Miami, FL 33130-1894

Mailing address

28 W Flagler St Ste 901
Miami, FL 33130-1894
Phone (305) 331-2277

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250122001392 FL Practitioner - Physical Therapist in Private Practice 7517496417 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Origin Physical Therapy FL PLLCGroup PAC ID 1759813348, 77 clinicians

Practice addresses (Care Compare)

2601 SW 37TH Ave
Suite 906
Coral Gables, FL 33133-2751
Phone (213) 898-2673

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Symmetry Physical Therapy LLC Physical Therapist CurrentSince Nov 1, 2024 Accepting new patients
Origin Physical Therapy FL PLLC Physical Therapist CurrentSince May 21, 2025 Accepting new patients

Locations

28 W Flagler St
Ste 901
Miami, FL 33130
Phone (305) 331-2277

2601 SW 37th Ave
Ste 906
Miami, FL 33133
Phone (305) 445-6568

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": "1733356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1114733177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 W FLAGLER ST STE 901",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331301894",
            "telephone_number": "305-331-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 W FLAGLER ST STE 901",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331301894",
            "telephone_number": "305-331-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARR",
        "first_name": "VANESSA",
        "middle_name": "MODENESE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-05",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT38100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.