Tara Ann Driscol, PT

Primary specialty

Rehabilitation HospitalTaxonomy code 283X00000X

License

070016251 Issued in IL

Practice address

1501 Busch Pkwy
Buffalo Grove, IL 60089-2686

Phone

(847) 419-7150

NPI assigned

Jun 21, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Tara Ann Spaur Former name

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Le Mars Physical TherapyGroup PAC ID 3375617962, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Le Mars Physical Therapy

  • Physical Therapy Clinic/Center
  • Le Mars, IA
  • NPI 1932369352
  Medicare reassignment Care Compare group NPD
• Lemars Physical Therapy, PLLC

  • Physical Therapy Clinic/Center
  • Le Mars, IA
  • NPI 1356556898
  NPD (past)

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

{
    "created_epoch": "1277078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277078400000",
    "number": "1497076707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 SHEFIELD AVE",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600601047",
            "telephone_number": "847-975-3367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 BUSCH PKWY",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600892686",
            "telephone_number": "847-419-7150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRISCOL",
        "first_name": "TARA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-21",
        "last_updated": "2010-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "IL",
            "license": "070016251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "SPAUR",
            "middle_name": "ANN",
            "prefix": "MISS",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dr 247 SC
• Dr Dennis a Lind PC
• Dr. Michael J. Simon, D.M.D., P.C.
• Rebecca M Drain, MSW
• Lee Anne Dresden
• DRS Papworth Vargas & Associatesltd,PC
• Michael Dubin
• Jason Dudek, PHARMD
• Margaret E Dunne, LCPC
• Jessica Durrance

• Rehabilitation Hospital in Buffalo Grove, IL
• Providers in Buffalo Grove, IL by specialty
• Rehabilitation Hospital in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2010; 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.