Individual provider Active NPI

Zoe Tarca, OTR/L

  • Occupational Therapist
  • Camden Wyoming, DE
National Provider Identifier
1285269175
Registry record updated Mar 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
U1-0002086 Issued in DE
Practice address
278 Sorghum Mill Rd
Camden Wyoming, DE 19934-1935
Phone
(302) 697-3101
NPI assigned
Mar 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 024009 NY
Occupational Therapist 225X00000X U1-0002086 DE Primary

Addresses

Primary practice location

278 Sorghum Mill Rd
Camden Wyoming, DE 19934-1935

Mailing address

36 Hearthstone Dr
Hebron, CT 06248-1202
Phone (860) 966-6765

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240517000794 MA Practitioner - Occupational Therapist in Private Practice 9234570508 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Maximize Your Mobility LLCGroup PAC ID 1456609031, 2 clinicians

Practice addresses (Care Compare)

292 Newbury St
Suite 317
Boston, MA 02115-2801
Phone (617) 686-3114

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14399MAMDGeneral Practice Dentistry
U1-0002086DEMDOccupational Therapist
024009NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Maximize Your Mobility LLC CurrentSince Jun 1, 2024 Accepting new patients

Locations

292 Newbury St
Ste 317
Boston, MA 02115
Phone (617) 588-2110

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1583884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583884800000",
    "number": "1285269175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 HEARTHSTONE DR",
            "city": "HEBRON",
            "state": "CT",
            "postal_code": "062481202",
            "telephone_number": "860-966-6765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "278 SORGHUM MILL RD",
            "city": "CAMDEN WYOMING",
            "state": "DE",
            "postal_code": "199341935",
            "telephone_number": "302-697-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARCA",
        "first_name": "ZOE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-11",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "024009",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "DE",
            "license": "U1-0002086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden Wyoming, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; 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.