Tara Renee Dolbeare, PTA
Individual provider Active NPI Physical Therapy Assistant · Pittsfield, IL
NPI 1467091934 · NPPES record last updated Jan 2, 2020
Key facts
- NPI
- 1467091934
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 160.004168 (IL)
- Practice address
- 610 Lowry St
Pittsfield, IL 62363-1768 - Phone
- (217) 285-5200
- NPI assigned
- Jan 2, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 160.004168 | IL | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 160.004168 | IL | Yes |
Addresses
Primary practice location
610 Lowry St
Pittsfield, IL 62363-1768
Mailing address
PO Box 302
Pleasant Hill, IL 62366-0302
Phone (217) 242-1457
Other providers in Pittsfield, IL
- Dan K. Speckhart D.M.D. and Douglas J. White D.M.D., P.C.
- Jennifer Davidson
- Amelia L. Dean
- Marsha Dejaynes
- Jose Cris Delrosario
- Riley James Donohoe
- Donna Dunn
- Eastside Rehabilitation & Health Care Center LLC
- Francisco Silveira Escobar
- Emily E Feenstra
All providers in Pittsfield, IL · Physical Therapy Assistant in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 2, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.