Active NPI
Joseph Allen Tatara, DPT, OT
- Physical Therapist
- Auburn, AL
National Provider Identifier
1417669698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH7916
- Practice address
- 1550 E University Dr Apt 224
Auburn, AL 36830-6368 - Phone
- (601) 573-9774
- NPI assigned
- Dec 19, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT4080 | AL | |
| Physical Therapist | 225100000X | PTH7916 | AL | Primary |
Addresses
Primary practice location
1550 E University Dr Apt 224
Auburn, AL 36830-6368
Mailing address
2040 Sequoia Dr
Auburn, AL 36879-5408
Phone (256) 656-8053
Other practice location 1
650 S University Blvd Apt 340
Mobile, AL 36609-7869
Phone (601) 573-9974
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1550 E University Dr
Apt 224
Auburn, AL 36830-6368
Phone (601) 506-0411
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mobility Rehab Monarch LLC | Physical Therapist | Current | Accepting new patients |
| Mobility Rehab LLC | Physical Therapist | Current | Accepting new patients |
| Mobility Rehab LLC | Current | Accepting new patients |
Organizations & group practices 3
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
- Auburn, AL
- NPI 1275298341
-
- Rehabilitation Clinic/Center
- Mobile, AL
- NPI 1295466670
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671408000000",
"number": "1417669698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2040 SEQUOIA DR",
"city": "AUBURN",
"state": "AL",
"postal_code": "368795408",
"telephone_number": "256-656-8053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 E UNIVERSITY DR APT 224",
"city": "AUBURN",
"state": "AL",
"postal_code": "368306368",
"telephone_number": "601-573-9774"
}
],
"practiceLocations": [
{
"address_1": "650 S University Blvd Apt 340",
"address_purpose": "LOCATION",
"city": "Mobile",
"state": "AL",
"postal_code": "366097869",
"country_code": "US",
"telephone_number": "601-573-9974",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TATARA",
"first_name": "JOSEPH",
"middle_name": "ALLEN",
"credential": "DPT, OT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-12-19",
"last_updated": "2022-12-19",
"certification_date": "2022-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AL",
"license": "OT4080",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH7916",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Auburn, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.