Individual provider Active NPI

Tara Lynne Dean

  • Physical Therapist
  • Denton, TX
National Provider Identifier
1164688453
Registry record updated May 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1182473 Issued in TX
Practice address
534 N Elm St
Denton, TX 76201-4114
Phone
(940) 566-5714
Fax
(940) 381-0157
NPI assigned
Aug 6, 2008
Last updated
May 10, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2012

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 1182473 TX Primary

Addresses

Primary practice location

534 N Elm St
Denton, TX 76201-4114

Mailing address

534 N. Elm St.
Denton, TX 76201-4114
Phone (940) 566-5714

Other identifiers 2

IdentifierTypeStateIssuer
P00935327OtherTXRAILROAD MEDICARE
854T73OtherTXBC/BS TX - EFFECT 02/01/2011

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

Practice roles

OrganizationSpecialtyStatusNew patients
Metrocrest Orthopaedics & Sports Medicine Past Accepting new patients
Denton Sports & Physical Therapy Physical Therapist PastSince Apr 18, 2010 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1217980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336608000000",
    "number": "1164688453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 N. ELM ST.",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762014114",
            "telephone_number": "940-566-5714",
            "fax_number": "940-381-0157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 N ELM ST",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762014114",
            "telephone_number": "940-566-5714",
            "fax_number": "940-381-0157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAN",
        "first_name": "TARA",
        "middle_name": "LYNNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-06",
        "last_updated": "2012-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1182473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00935327",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS TX - EFFECT 02/01/2011",
            "identifier": "854T73",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2012; 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.