Tara Lynn Farry, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT16595 Issued in CA

Practice address

25 Feldspar Way
Rancho Santa Margarita, CA 92688-3518

Phone

(949) 584-1603

NPI assigned

Oct 20, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Tara Lynn Palomino Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthopaedic and Neurological Rehab IncGroup PAC ID 6507159126, 368 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Orthopaedic and Neurological Rehab Inc

  • Rehabilitation Clinic/Center
  • Billings, MT
  • NPI 1225496540

  CA

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1571529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571529600000",
    "number": "1487297776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24392 CARACAS ST",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926291319",
            "telephone_number": "949-443-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 FELDSPAR WAY",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926883518",
            "telephone_number": "949-584-1603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRY",
        "first_name": "TARA",
        "middle_name": "LYNN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-20",
        "last_updated": "2019-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT16595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912416744",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tarafarry@icloud.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "address_1": "24392 Caracas St",
            "city": "Dana Point",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926291319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "PALOMINO",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Evolve Integrated Wellness and Physical Therapy PC
• Excel Physicians Medical Corporation
• Michael Young Fabiana
• Rouha Khodadad Farman, SLP
• Alyssa Ashley Farr, PT, DPT
• Thomas Feck, PT, DPT
• Alicia Switzer-Muse Fernandez, MS
• Nina Ferreira
• Debora Ann Finley, RN
• Sharon Fiocca, M.A., C.C.C.

• Occupational Therapist in Rancho Santa Margarita, CA
• Providers in Rancho Santa Margarita, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.