Individual provider Active NPI

Tara Bast, PT, DPT

  • Physical Therapist
  • Ashburn, VA
National Provider Identifier
1285034686
Registry record updated Apr 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305209033 Issued in VA
Practice address
21785 Filigree CT
Suite 209
Ashburn, VA 20147-6213
Phone
(703) 723-8800
Fax
(703) 723-4134
NPI assigned
Sep 4, 2014
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20211201000892 VA Practitioner - Physical Therapist in Private Practice 3274923511 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305209033VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Loudoun Physical Therapy, Inc. Physical Therapist CurrentSince Sep 7, 2021 Accepting new patients
Biomechanic Physical Therapy, PLLC Physical Therapist Current Accepting new patients
Virginia Hospital Center Arlington Health System PastSince Sep 7, 2021 Accepting new patients

Locations

525 E Market St
Ste B
Leesburg, VA 20176
Phone (703) 443-6700

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305209033 VA Primary

Addresses

NPPES NPI Registry

Primary practice location

21785 Filigree CT
Suite 209
Ashburn, VA 20147-6213

Mailing address

21785 Filigree CT
#209
Ashburn, VA 20147-6213
Phone (703) 723-8800

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 3, 2017.

{
    "created_epoch": "1409788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491177600000",
    "number": "1285034686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21785 FILIGREE CT",
            "address_2": "#209",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201476213",
            "telephone_number": "703-723-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21785 FILIGREE CT",
            "address_2": "SUITE 209",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201476213",
            "telephone_number": "703-723-8800",
            "fax_number": "703-723-4134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAST",
        "first_name": "TARA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-04",
        "last_updated": "2017-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305209033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburn, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.