Tara Hackney, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

088267 Issued in IA

Practice address

3720 Queen CT SW Ste I
Cedar Rapids, IA 52404-4735

Phone

(319) 364-0300

Fax

(319) 364-4043

NPI assigned

Apr 8, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Athletico LTD 2,187 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.32 of 100Reported as group

Quality

84.44

Promoting interoperability

99

Improvement activities

40

Cost

70.78

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.

• Athletico LTD

  • Physical Therapist
  • Oak Brook, IL
  • NPI 1821085028

  IA

  Medicare reassignment
• Athletico LTD

  • Clinic/Center
  • Des Moines, IA
  • NPI 1871900985

  Physical Therapist

  NPD (past)
• Eastern Iowa Therapeutics PC

  • Physical Therapist
  • Cedar Rapids, IA
  • NPI 1568857324
  NPD (past)

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

{
    "created_epoch": "1396915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1235558248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 ENTERPRISE DR.",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605238813",
            "telephone_number": "630-575-6250",
            "fax_number": "630-575-7450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 QUEEN CT SW STE I",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524044735",
            "telephone_number": "319-364-0300",
            "fax_number": "319-364-4043"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Waukegan Rd",
            "address_2": "Suite 250",
            "address_purpose": "LOCATION",
            "city": "Glenview",
            "state": "IL",
            "postal_code": "600252100",
            "country_code": "US",
            "telephone_number": "847-657-9445",
            "fax_number": "847-657-9450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HACKNEY",
        "first_name": "TARA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-08",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-020547",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "088267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claire Gutta, PHARMD
• Elizabeth Guadalupe Guzman
• Alicia R Haan
• Collin Michael Haben, DO
• Syridio Habimana
• Margaret Tory Haefner, DPT
• Chris R Haganman, DDS MS
• Kimberly Hagarty, MD
• Grace Anne Hagen, MD
• Keli Bea Hagen

• All providers in Cedar Rapids, IA
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.