Active NPI
Timothy Tarrant
- Physical Therapist
- Lodi, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 305266
- Practice address
- 210 W Pine St
Lodi, CA 95240-2020 - Phone
- (209) 365-7867
- NPI assigned
- Nov 30, 2023
- Sex
- Male
- 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 | 305266 | CA | Primary |
Addresses
Primary practice location
210 W Pine St
Lodi, CA 95240-2020
Mailing address
9857 Tralee Way
Elk Grove, CA 95624-2650
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
210 W Pine St
Lodi, CA 95240-2020
Phone (209) 365-7867
Merit-based Incentive Payment System (MIPS)
- Final score
- 67.73 of 100
- Quality
- 41.21
- Improvement activities
- 40
- Cost
- 83.55
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golden Bear Physical Therapy Sports Injury Center, Inc | Physical Therapist | Current | Accepting new patients |
| Gold Country Therapies, Inc | Past | Accepting new patients | |
| Sutter Gould Medical Foundation | Past | Accepting new patients | |
| Physiomotion Physical Therapy, Inc. | Physical Therapist | Past | Accepting new patients |
Locations
2222 Francisco Dr
Ste 120
El Dorado Hills, CA 95762
Phone (916) 235-4071
4080 N Cedar Ave
Fresno, CA 93726
Phone (559) 222-7497
631 S Ham Ln
Ste B
Lodi, CA 95242
Phone (209) 368-7433
210 W Pine St
Lodi, CA 95240
Phone (209) 365-7867
1335 Coffee Rd
Ste 200
Modesto, CA 95355
Phone (209) 576-1946
1222 W Colony Rd
Ste 130
Ripon, CA 95366
Phone (209) 624-1288
1586 Constitution Blvd
Salinas, CA 93905
Phone (831) 276-0565
1906 Vista del Lago Dr
Ste A
Valley Springs, CA 95252
Phone (209) 772-0848
Organizations & group practices 4
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.
-
- Physical Therapy Clinic/Center
- Modesto, CA
- NPI 1811084676
Physical Therapist
-
- Physical Therapy Clinic/Center
- Valley Springs, CA
- NPI 1447658067
-
- Physical Therapist
- Fresno, CA
- NPI 1346301751
-
- Family Medicine Physician
- Modesto, CA
- NPI 1326093360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701302400000",
"number": "1275309205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9857 TRALEE WAY",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "956242650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 W PINE ST",
"city": "LODI",
"state": "CA",
"postal_code": "952402020",
"telephone_number": "209-365-7867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TARRANT",
"first_name": "TIMOTHY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-11-30",
"last_updated": "2023-11-30",
"certification_date": "2023-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "305266",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lodi, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; 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.