Katie Elissa Tarr, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070016644 Issued in IL

Practice address

802 Knottingham Dr
Ottawa, IL 61350-4224

Phone

(815) 712-8915

Fax

(815) 324-9107

NPI assigned

Apr 8, 2009

Sex

Female

Sole proprietor

Yes

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)

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.

• Milestones Pediatric Therapy Inc.

  • Physical Therapy Clinic/Center
  • Ottawa, IL
  • NPI 1437548039
  NPD (past) Authorized official

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

{
    "created_epoch": "1239148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402012800000",
    "number": "1164665071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 KNOTTINGHAM DR",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613504224",
            "telephone_number": "815-712-8915",
            "fax_number": "815-324-9107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 KNOTTINGHAM DR",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613504224",
            "telephone_number": "815-712-8915",
            "fax_number": "815-324-9107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARR",
        "first_name": "KATIE",
        "middle_name": "ELISSA",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-08",
        "last_updated": "2014-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070016644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor V Swanson, PT, DPT
• Chin W Swong, MD
• Synergy Institute S.C.
• Talarico Family Physicains
• Jeffrey C Tanzi, DO
• Dana Adair Taylor, LCSW
• Kimberly Taylor, LPTA
• Melissa Terry, PH.D.
• Alyssa Testin, SLP
• The Centre for Oral Surgery in Joliet, Inc.

• Physical Therapist in Ottawa, IL
• Providers in Ottawa, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2014; 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.