Tara J. Foulke, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

93009569 Issued in NM

Practice address

1106 W Quay Ave
Artesia, NM 88210-1826

Phone

(505) 746-2777

NPI assigned

Mar 5, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1285763086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 W QUAY AVE",
            "city": "ARTESIA",
            "state": "NM",
            "postal_code": "882101826",
            "telephone_number": "505-746-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 W QUAY AVE",
            "city": "ARTESIA",
            "state": "NM",
            "postal_code": "882101826",
            "telephone_number": "505-746-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOULKE",
        "first_name": "TARA",
        "middle_name": "J.",
        "name_prefix": "Ms.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "93009569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "93009569",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melanie Frances Farrar, P.T., D.P.T.
• Mariana Federico
• Olga Fernandez, COTA
• Jennifer Flores, MSN,APRN,PMHNP-BC
• Olivia Florez-Beard
• Jami Fowler CSW
• Full Circle Health and Wellness LLC (Full Circle Health and Wellness)
• Jacob I Garcia, DDS
• Shirley Ann Garner
• Maria Carmelita Go, MD

• Physical Therapist in Artesia, NM
• Providers in Artesia, NM by specialty
• Physical Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.