Individual provider Active NPI

Tara Kristin Reinhardt, DPT

  • Physical Therapist
  • Seal Beach, CA
National Provider Identifier
1417488552
Registry record updated Aug 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT42717 Issued in CA
Practice address
417 Ocean Ave Apt 2
Seal Beach, CA 90740-6050
Phone
(310) 994-1182
NPI assigned
Mar 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT42717 CA Primary

Addresses

Primary practice location

417 Ocean Ave Apt 2
Seal Beach, CA 90740-6050

Mailing address

417 Ocean Ave Apt 2
Seal Beach, CA 90740-6050
Phone (310) 994-1182

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200617001435 CA Practitioner - Physical Therapist in Private Practice 7911329156 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT42717CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elderberry Healthcare and Physical Therapy Inc. Physical Therapist CurrentSince Oct 16, 2020 Accepting new patients
Motus Physical Therapy and Associates CurrentSince Aug 2, 2020 Accepting new patients
California Luna Care Physical Therapy PC Physical Therapist CurrentSince Oct 8, 2020 Accepting new patients
Independent Physical Therapy Inc Physical Therapist Past Accepting new patients

Locations

16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 459-8108

Organizations & group practices 4

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": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1417488552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 OCEAN AVE APT 2",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907406050",
            "telephone_number": "310-994-1182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 OCEAN AVE APT 2",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907406050",
            "telephone_number": "310-994-1182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINHARDT",
        "first_name": "TARA",
        "middle_name": "KRISTIN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-21",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT42717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seal Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; 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.