Individual provider Active NPI

Laura Johnson Tarrago, MPT

  • Pediatric Physical Therapist
  • Atlanta, GA
National Provider Identifier
1255522033
Registry record updated Aug 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
002883 Issued in GA
Practice address
5260 Manhasset CT
Atlanta, GA 30338-3410
Phone
(404) 232-0920
Fax
(770) 350-0754
NPI assigned
Aug 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 002883 GA Primary

Addresses

Primary practice location

5260 Manhasset CT
Atlanta, GA 30338-3410

Mailing address

5260 Manhasset CT
Atlanta, GA 30338-3410
Phone (404) 232-0920

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186358400000",
    "number": "1255522033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5260 MANHASSET CT",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303383410",
            "telephone_number": "404-232-0920",
            "fax_number": "770-350-0754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5260 MANHASSET CT",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303383410",
            "telephone_number": "404-232-0920",
            "fax_number": "770-350-0754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARRAGO",
        "first_name": "LAURA",
        "middle_name": "JOHNSON",
        "name_prefix": "Ms.",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-06",
        "last_updated": "2007-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "GA",
            "license": "002883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2007; 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.