Active NPI
Tara J Roark-Towle
- Physical Therapist
- Hampstead, NH
National Provider Identifier
1366695264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1879
- Practice address
- 10 Bartlett Rd
Hampstead, NH 03841-2145 - Phone
- (978) 388-4500
- NPI assigned
- Oct 23, 2008
- Last updated
- Feb 19, 2009
- 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 | 1879 | NH | Primary |
| Physical Therapist | 225100000X | 10894 | MA |
Addresses
Primary practice location
10 Bartlett Rd
Hampstead, NH 03841-2145
Mailing address
110 Haverhill Rd
Suite 401
Amesbury, MA 01913-2123
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10894 | MA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235001600000",
"number": "1366695264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 HAVERHILL RD",
"address_2": "SUITE 401",
"city": "AMESBURY",
"state": "MA",
"postal_code": "019132123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 BARTLETT RD",
"city": "HAMPSTEAD",
"state": "NH",
"postal_code": "038412145",
"telephone_number": "978-388-4500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROARK-TOWLE",
"first_name": "TARA",
"middle_name": "J",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-23",
"last_updated": "2009-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NH",
"license": "1879",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "10894",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hampstead, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.