Active NPI
Tara Hook, PHYSICAL THERAPIST
- Physical Therapist
- Salt Lake City, UT
National Provider Identifier
1467697235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 030909-1
- Practice address
- 100 North Mario Capecchi Dr
Salt Lake City, UT 84113 - Phone
- (801) 662-4949
- Fax
- (801) 662-4931
- NPI assigned
- Dec 9, 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 030909-1 | NY | Primary |
Addresses
Primary practice location
100 North Mario Capecchi Dr
Salt Lake City, UT 84113
Mailing address
PO Box 31080
Salt Lake City, UT 84130
Phone (631) 385-0207
Other names 1
- Tara Antonelli
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 030909-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286236800000",
"number": "1467697235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31080",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84130",
"telephone_number": "631-385-0207",
"fax_number": "631-385-1272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 NORTH MARIO CAPECCHI DR",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84113",
"telephone_number": "801-662-4949",
"fax_number": "801-662-4931"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOOK",
"first_name": "TARA",
"name_prefix": "Ms.",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-09",
"last_updated": "2010-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "030909-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TARA",
"last_name": "ANTONELLI",
"credential": "PHYSICAL THERAPIST",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.