Active NPI
Tara Kristin Reinhardt, DPT
- Physical Therapist
- Seal Beach, CA
National Provider Identifier
1417488552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT42717
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT42717 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elderberry Healthcare and Physical Therapy Inc. | Physical Therapist | Current | Accepting new patients |
| Motus Physical Therapy and Associates | Current | Accepting new patients | |
| California Luna Care Physical Therapy PC | Physical Therapist | Current | 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.
-
- Physical Therapist
- Los Gatos, CA
- NPI 1689162166
-
- Physical Therapist
- Seal Beach, CA
- NPI 1932700556
-
- In Home Supportive Care Agency
- Seal Beach, CA
- NPI 1770103764
-
- Physical Therapist
- Carson, CA
- NPI 1124101142
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.