Individual provider Active NPI

Tara M Perone

  • Physical Therapist
  • Hammonton, NJ
National Provider Identifier
1437294915
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01086700 Issued in NJ
Practice address
640 S White Horse Pike
Hammonton, NJ 08037-2014
Phone
(609) 704-1980
Fax
(609) 704-9054
NPI assigned
Feb 21, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 40QA01086700 NJ Primary

Addresses

Primary practice location

640 S White Horse Pike
Hammonton, NJ 08037-2014

Mailing address

640 S White Horse Pike
Hammonton, NJ 08037-2014
Phone (609) 704-1980

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051114000727 NJ Practitioner - Physical Therapist in Private Practice 7315979887 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Orthopedic & Sports Physical Therapy PC Physical Therapist CurrentSince May 26, 2017 Accepting new patients
Heymann, Manders, Green & Sommer, LLC. PastSince Jul 1, 2015 Accepting new patients

Locations

129 N White Horse Pike
Ste B
Hammonton, NJ 08037
Phone (609) 704-1980

640 S White Horse Pike
Hammonton, NJ 08037
Phone (609) 704-1980

760 S Delsea Dr
Ste 300
Vineland, NJ 08360
Phone (609) 704-1980

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437294915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 S WHITE HORSE PIKE",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080372014",
            "telephone_number": "609-704-1980",
            "fax_number": "609-704-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 S WHITE HORSE PIKE",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080372014",
            "telephone_number": "609-704-1980",
            "fax_number": "609-704-9054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERONE",
        "first_name": "TARA",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01086700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammonton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.