Individual provider Active NPI

Tarra E Richard, PT

  • Physical Therapist
  • Des Moines, IA
National Provider Identifier
1346575453
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
02333 Issued in IA
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, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1346575453MedicaidIA

Other names 1

  • Tarra E Williams Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150209001149 IA Practitioner - Physical Therapist in Private Practice 5698090900 Reassigns benefits to 2 organizations

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

LicenseStateTypeSpecialty
070011010ILMDPhysical Therapist
02333IAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa Physicians Clinic Medical Foundation CurrentSince Feb 1, 2015 Accepting new patients
Younker Rehabilitation Therapy Services, LLC Physical Therapist CurrentSince Feb 1, 2017 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.

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.

Verify at the official NPI Registry.