Active NPI
Tara Pool, DPT
- Physical Therapist
- Key Largo, FL
National Provider Identifier
1164892030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT30852
- Practice address
- 100210 Overseas Hwy
Suite 2
Key Largo, FL 33037-2526 - Phone
- (305) 453-1088
- NPI assigned
- Oct 4, 2015
- Sex
- Female
- Sole proprietor
- No
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 Therapist | 225100000X | PT30852 | FL | Primary |
Addresses
Primary practice location
100210 Overseas Hwy
Suite 2
Key Largo, FL 33037-2526
Mailing address
100210 Overseas Hwy
Suite 2
Key Largo, FL 33037-2526
Phone (618) 838-0903
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 |
|---|---|---|---|
| PT30852 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443916800000",
"number": "1164892030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100210 OVERSEAS HWY",
"address_2": "SUITE 2",
"city": "KEY LARGO",
"state": "FL",
"postal_code": "330372526",
"telephone_number": "618-838-0903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100210 OVERSEAS HWY",
"address_2": "SUITE 2",
"city": "KEY LARGO",
"state": "FL",
"postal_code": "330372526",
"telephone_number": "305-453-1088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POOL",
"first_name": "TARA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-04",
"last_updated": "2015-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT30852",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Key Largo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.