Tara L Pandiscia, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305213070 Issued in VA

Practice address

1004 First Colonial Rd Ste 101
Virginia Beach, VA 23454-3070

Phone

(757) 578-2958

NPI assigned

May 21, 2014

Last updated

May 2, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Brody School of Medicine at East Carolina University, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Restorative Therapy Company LLCGroup PAC ID 2567794084, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Restorative Therapy Company LLC

  • Physical Therapy Clinic/Center
  • Virginia Beach, VA
  • NPI 1902454564

  Physical Therapist

  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1400630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746144000000",
    "number": "1366854655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2328 PAGE CV",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234511005",
            "telephone_number": "252-412-5478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 FIRST COLONIAL RD STE 101",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543070",
            "telephone_number": "757-578-2958"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 New Bern Ave",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276101231",
            "country_code": "US",
            "telephone_number": "919-350-8950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANDISCIA",
        "first_name": "TARA",
        "middle_name": "L",
        "name_prefix": "Miss",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-21",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305213070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Palmieri
• Lawrence Ray Palmiter Jr., FNP-C
• John K Palting, MD
• Martha Brickey Pandajis, PA-C
• Katherine Erin Pande, D.C.
• Lisa Iervolino Panelo, MS, LCSW
• Tomas Paneque, MD
• Jon Rudolf Pangan, INDEPENDENT DUTY HM
• Alicia Garcia Pangilinan, MD
• Justine Pangilinan, FNP-C

• Physical Therapist in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; 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.