Active NPI
Tara E Socquet, PT
- Physical Therapist
- Vancouver, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT60025787
- Practice address
- 8716 E Mill Plain Blvd
Vancouver, WA 98664-2531 - Phone
- (360) 696-5300
- Fax
- (360) 729-3372
- NPI assigned
- Jan 5, 2007
- Last updated
- Apr 15, 2024
- 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 | PT60025787 | WA | Primary |
Addresses
Primary practice location
8716 E Mill Plain Blvd
Vancouver, WA 98664-2531
Mailing address
2515 NW 47TH Ave
Camas, WA 98607-8314
Phone (650) 814-9868
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT60025787 | Other | WA | PT LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joint Ventures Therapeutics, PC | Current | Accepting new patients | |
| BDB Rehabilitation PC | Physical Therapist | Current | Accepting new patients |
| Joint Ventures Therapeutics PC | Physical Therapist | Current | Accepting new patients |
| BDB Rehabilitation PC | Physical Therapist | Current | Accepting new patients |
Locations
4933 Old Greenwood Rd
Fort Smith, AR 72903
16111 SE McGillivray Blvd
Ste A
Vancouver, WA 98683
Phone (360) 253-4020
16219 SE 12th St
Ste 100
Vancouver, WA 98683
Phone (360) 253-4020
Organizations & group practices 5
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.
-
- Physical Therapist
- Puyallup, WA
- NPI 1760181879
-
dba Majerus & Co. Physical Therapy
- Physical Therapy Clinic/Center
- Ridgefield, WA
- NPI 1033177035
-
- Physical Therapist
- Marysville, WA
- NPI 1467257949
-
dba Majerus & Co. Physical Therapy
- Physical Therapy Clinic/Center
- Vancouver, WA
- NPI 1710172291
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713139200000",
"number": "1457408098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2515 NW 47TH AVE",
"city": "CAMAS",
"state": "WA",
"postal_code": "986078314",
"telephone_number": "650-814-9868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8716 E MILL PLAIN BLVD",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986642531",
"telephone_number": "360-696-5300",
"fax_number": "360-729-3372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOCQUET",
"first_name": "TARA",
"middle_name": "E",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-05",
"last_updated": "2024-04-15",
"certification_date": "2024-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT60025787",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT LICENSE",
"identifier": "PT60025787",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; 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.