Individual provider Active NPI

Randy Tarr, DPT

  • Physical Therapist
  • Washington, PA
National Provider Identifier
1326222365
Registry record updated Jun 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT018978 Issued in PA
Practice address
3355 W Chestnut St
Washington, PA 15301-8302
Phone
(724) 206-0927
Fax
(724) 206-0927
NPI assigned
Dec 27, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2008

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 PT018978 PA Primary

Addresses

Primary practice location

3355 W Chestnut St
Washington, PA 15301-8302

Mailing address

3355 W Chestnut St
Washington, PA 15301-8302
Phone (724) 222-4254

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080917000013 PA Practitioner - Physical Therapist in Private Practice 6901973049 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic and Sports Physical Therapy Associates Inc Physical Therapist CurrentSince Sep 1, 2019 Accepting new patients
Orthopedic & Sports Physical Therapy Associates, Inc. Physical Therapist CurrentSince Sep 1, 2019 Accepting new patients

Locations

625 Lincoln Ave
Ste 107
North Charleroi, PA 15022
Phone (724) 483-4886

500 1st Ave
Pittsburgh, PA 15219
Phone (412) 807-7878

Organizations & group practices 2

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": "1198713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212969600000",
    "number": "1326222365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 W CHESTNUT ST",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153018302",
            "telephone_number": "724-222-4254",
            "fax_number": "724-222-7465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 W CHESTNUT ST",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153018302",
            "telephone_number": "724-206-0927",
            "fax_number": "724-206-0927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARR",
        "first_name": "RANDY",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-27",
        "last_updated": "2008-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT018978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; 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.