Active NPI
Tara Marie Iacono, RPA-C
- Physician Assistant
- Gilbert, AZ
National Provider Identifier
1437308384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 6038
- Practice address
- 890 W Elliot Rd Ste 101
Gilbert, AZ 85233-5127 - Phone
- (480) 818-6704
- Fax
- (480) 944-0871
- NPI assigned
- Sep 16, 2008
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 6038 | AZ | Primary |
Addresses
Primary practice location
890 W Elliot Rd Ste 101
Gilbert, AZ 85233-5127
Mailing address
890 W Elliot Rd Ste 101
Gilbert, AZ 85233-5127
Phone (480) 818-6704
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
7600 N 15TH St
Suite 100
Phoenix, AZ 85020-4330
Phone (602) 704-2345
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012592 | NY | MD | Chiropractor |
| 6038 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Workit Health Mi PLLC | Multi-Specialty | Current | Accepting new patients |
| Workit Health Mi PLLC | Multi-Specialty | Current | Accepting new patients |
| Bicycle Health Provider Group Inc. | Multi-Specialty | Past | Accepting new patients |
Locations
3300 Washtenaw Ave
Ste 280
Ann Arbor, MI 48104
Phone (734) 329-5419
5373 W Alabama St
Ste 204
Houston, TX 77056
Phone (281) 569-4289
Organizations & group practices 6
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.
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- New York, NY
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Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771804800000",
"number": "1437308384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "890 W ELLIOT RD STE 101",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852335127",
"telephone_number": "480-818-6704",
"fax_number": "480-944-0871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "890 W ELLIOT RD STE 101",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852335127",
"telephone_number": "480-818-6704",
"fax_number": "480-944-0871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IACONO",
"first_name": "TARA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "RPA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-16",
"last_updated": "2026-02-23",
"certification_date": "2026-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "6038",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; 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.