Individual provider Active NPI

Joseph Allen Tatara, DPT, OT

  • Physical Therapist
  • Auburn, AL
National Provider Identifier
1417669698
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH7916 Issued in AL
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

Updated by the provider on Dec 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230103000299 AL Practitioner - Physical Medicine and Rehabilitation 8325418619 Reassigns benefits to 2 organizations

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
Mobility Rehab Monarch, LLCGroup PAC ID 3274906177, 5 clinicians

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

OrganizationSpecialtyStatusNew patients
Mobility Rehab Monarch LLC Physical Therapist CurrentSince Jan 1, 2023 Accepting new patients
Mobility Rehab LLC Physical Therapist Current Accepting new patients
Mobility Rehab LLC CurrentSince Dec 1, 2022 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.

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

Verify at the official NPI Registry.