Tara A O'Desky, D.C.

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

2845 Issued in MA

Practice address

1 Munroe St
Lynn, MA 01901-1506

Phone

(781) 599-9500

NPI assigned

Jan 18, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Lomibo, LLC

  • Chiropractor
  • Lynn, MA
  • NPI 1649317447
  NPD (past)
• Outback Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Somerville, MA
  • NPI 1114272515
  NPD (past)

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312934400000",
    "number": "1124171863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 JOHNSON ST",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018454631",
            "telephone_number": "781-264-5758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MUNROE ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "019011506",
            "telephone_number": "781-599-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DESKY",
        "first_name": "TARA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2011-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "MA",
            "license": "2845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley Chukwunonso Nwosu
• Amanda Nye, M.A.
• Kerri Ann O'Brien, RN
• Madeline O'Bryant
• Jason Marshall O'Desky, D.C.
• Erin Marie O'Donnell, BS ED.
• Stephanie A O'Donnell, LCSW
• Jessica Drew O'Gorman, P.T.
• Stefania O'Loughlin
• Laura O'Meara, LICSW

• Rehabilitation Chiropractor in Lynn, MA
• Providers in Lynn, MA by specialty
• Rehabilitation Chiropractor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; 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.