Individual provider Active NPI

Michael Nolan Tarr, PHYSICAL THERAPIST

  • Physical Therapist
  • Elk Grove, CA
National Provider Identifier
1306947387
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 17220 Issued in CA
Practice address
7805 Laguna Blvd
Suite 300
Elk Grove, CA 95758
Phone
(916) 691-5400
Fax
(916) 691-5427
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 17220 CA Primary

Addresses

Primary practice location

7805 Laguna Blvd
Suite 300
Elk Grove, CA 95758

Mailing address

2812 Toronja Way
Sacramento, CA 95833
Phone (916) 283-6237

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
17220CAMDAcupuncturist
PT 17220CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Burger Physical Therapy Services Inc Past Accepting new patients
Burger Physical Therapy and Rehabilitation Agency Inc Past Accepting new patients
Precision Rehabilitation & Orthopedic Physical Therapy Inc Physical Therapist PastSince Jun 30, 2001 Accepting new patients
Precision Rehabilitation & Orthopedic Physical Therapy Inc Physical Therapist Past Accepting new patients
Reedley Physical Therapy Inc Physical Therapist PastSince May 1, 2019 Accepting new patients

Organizations & group practices 5

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306947387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2812 TORONJA WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95833",
            "telephone_number": "916-283-6237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7805 LAGUNA BLVD",
            "address_2": "SUITE 300",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "95758",
            "telephone_number": "916-691-5400",
            "fax_number": "916-691-5427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARR",
        "first_name": "MICHAEL",
        "middle_name": "NOLAN",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 17220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.