Active NPI
Tarra E Richard, PT
- Physical Therapist
- Des Moines, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 02333
- Practice address
- 1212 Pleasant St Ste 405
Des Moines, IA 50309-1413 - Phone
- (515) 243-8842
- Fax
- (515) 282-9806
- NPI assigned
- Oct 7, 2009
- Last updated
- Mar 17, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070011010 | IL | |
| Physical Therapist | 225100000X | 02333 | IA | Primary |
Addresses
Primary practice location
1212 Pleasant St Ste 405
Des Moines, IA 50309-1413
Mailing address
1200 Pleasant Street
South 2 Room 236
Des Moines, IA 50309-1406
Phone (515) 241-6228
Other practice location 1
6000 University Ave
Ste 203
West Des Moines, IA 50266-8203
Phone (515) 241-2200
Other practice location 2
6000 University Ave
Ste 203
West Des Moines, IA 50266-8203
Phone (515) 241-2200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346575453 | Medicaid | IA |
Other names 1
- Tarra E Williams
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4480 Utica Ridge Rd
Bettendorf, IA 52722-1644
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070011010 | IL | MD | Physical Therapist |
| 02333 | IA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iowa Physicians Clinic Medical Foundation | Current | Accepting new patients | |
| Younker Rehabilitation Therapy Services, LLC | Physical Therapist | Current | Accepting new patients |
Locations
2006 S Ankeny Blvd
Bldg 5
Ankeny, IA 50023
Phone (515) 289-9541
4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950
4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150
1200 Pleasant St
Rm 236
Des Moines, IA 50309
Phone (515) 241-6228
1212 Pleasant St
Ste 405
Des Moines, IA 50309
Phone (515) 241-4000
3200 Grand Ave
Des Moines, IA 50312
Phone (515) 271-1700
6000 University Ave
Ste 203
West Des Moines, IA 50266
Phone (515) 241-2200
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba UnityPoint Clinic
- General Practice Physician
- West Des Moines, IA
- NPI 1366425274
-
- Physical Therapist
- Ankeny, IA
- NPI 1447797113
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1346575453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 PLEASANT STREET",
"address_2": "SOUTH 2 ROOM 236",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503091406",
"telephone_number": "515-241-6228",
"fax_number": "515-241-8685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1212 PLEASANT ST STE 405",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503091413",
"telephone_number": "515-243-8842",
"fax_number": "515-282-9806"
}
],
"practiceLocations": [
{
"address_1": "6000 University Ave",
"address_2": "Ste 203",
"address_purpose": "LOCATION",
"city": "West Des Moines",
"state": "IA",
"postal_code": "502668203",
"country_code": "US",
"telephone_number": "515-241-2200",
"fax_number": "515-241-2201",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6000 University Ave",
"address_2": "Ste 203",
"address_purpose": "LOCATION",
"city": "West Des Moines",
"state": "IA",
"postal_code": "502668203",
"country_code": "US",
"telephone_number": "515-241-2200",
"fax_number": "515-241-2201",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RICHARD",
"first_name": "TARRA",
"middle_name": "E",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-07",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070011010",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "02333",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1346575453",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TARRA",
"last_name": "WILLIAMS",
"middle_name": "E",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.