Individual provider Active NPI

Tara Orourke

  • Physical Therapist
  • Ventura, CA
National Provider Identifier
1366087165
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
297537 Issued in CA
Practice address
4572 Telephone Rd Ste 903
Ventura, CA 93003-5663
Phone
(805) 654-8127
Fax
(805) 654-8149
NPI assigned
Nov 15, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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 46TR01091200 NJ
Physical Therapist 225100000X 297537 CA Primary

Addresses

Primary practice location

4572 Telephone Rd Ste 903
Ventura, CA 93003-5663

Mailing address

4572 Telephone Rd Ste 903
Ventura, CA 93003-5663
Phone (805) 654-8127

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220628002905 NY Practitioner - Physical Therapist in Private Practice 7719366392 Reassigns benefits to 1 organization
I20230113001345 CA Practitioner - Physical Therapist in Private Practice 7719366392 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
46TR01091200NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Blayne Robinson Liparoto Physical Therapist CurrentSince Feb 6, 2023 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist CurrentSince Oct 17, 2022 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist CurrentSince Oct 17, 2022 Accepting new patients
Professional Occupational & Physical Therapy, PLLC Physical Therapist Current Accepting new patients
Kevin Wentz Physical Therapy Corporation Physical Therapist PastSince Nov 1, 2019 Accepting new patients
Sports Injury Physical Therapy, Inc Physical Therapist PastSince Nov 1, 2019 Accepting new patients

Locations

4572 Telephone Rd
Ste 903
Ventura, CA 93003
Phone (805) 654-8127

7 Cedar Grove Ln
Ste 39
Somerset, NJ 08873
Phone (732) 412-7509

6469 Broadway
Ste 2
Bronx, NY 10471
Phone (929) 504-5979

123 Grove Ave
Cedarhurst, NY 11516
Phone (516) 374-4248

576 Broadhollow Rd
Melville, NY 11747

22005 Hillside Ave
Queens Village, NY 11427
Phone (718) 400-8330

2142 Utopia Pkwy
Whitestone, NY 11357
Phone (718) 767-0610

Organizations & group practices 6

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": "1573776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1366087165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4572 TELEPHONE RD STE 903",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930035663",
            "telephone_number": "805-654-8127",
            "fax_number": "805-654-8149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4572 TELEPHONE RD STE 903",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930035663",
            "telephone_number": "805-654-8127",
            "fax_number": "805-654-8149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OROURKE",
        "first_name": "TARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-15",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "46TR01091200",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "297537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; 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.