Active NPI
Tara A Harrington, DPT
- Physical Therapy Clinic/Center
- Gresham, OR
National Provider Identifier
1144860024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 63541
- Practice address
- 24076 SE Stark St Ste 200
Gresham, OR 97030-3376 - Phone
- (503) 491-1666
- NPI assigned
- Jan 8, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 63541 | OR | Primary |
Addresses
Primary practice location
24076 SE Stark St Ste 200
Gresham, OR 97030-3376
Mailing address
6133 Double Tree Dr
Baton Rouge, LA 70817-3979
Phone (225) 931-5891
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
| License | State | Type | Specialty |
|---|---|---|---|
| 63541 | OR | MD | Physical Therapy Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578528000000",
"number": "1144860024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6133 DOUBLE TREE DR",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708173979",
"telephone_number": "225-931-5891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24076 SE STARK ST STE 200",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970303376",
"telephone_number": "503-491-1666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRINGTON",
"first_name": "TARA",
"middle_name": "A",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-08",
"last_updated": "2020-01-09",
"certification_date": "2020-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "OR",
"license": "63541",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gresham, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.