Tarrah L Maynard, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT019082 Issued in PA

Practice address

97 Progress Blvd
Suite 2
Shippensburg, PA 17257-9595

Phone

(717) 241-2211

Fax

(717) 241-2240

NPI assigned

Jan 7, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Orthopedic & Spine Physical Therapy

  • Physical Therapist
  • Carlisle, PA
  • NPI 1811095631
  NPD
• Cumberland Orthopedic & Spine Physical Therapy, Inc.

  • Physical Therapist
  • Mechanicsburg, PA
  • NPI 1164533303
  NPD (past)

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305504000000",
    "number": "1497930606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 WALNUT BOTTOM RD",
            "address_2": "SUITE 306",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170133632",
            "telephone_number": "717-241-2211",
            "fax_number": "717-241-2240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 PROGRESS BLVD",
            "address_2": "SUITE 2",
            "city": "SHIPPENSBURG",
            "state": "PA",
            "postal_code": "172579595",
            "telephone_number": "717-241-2211",
            "fax_number": "717-241-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYNARD",
        "first_name": "TARRAH",
        "middle_name": "L",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-07",
        "last_updated": "2011-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT019082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wesley R. Mallicone, MS, ATC
• Anne Marie Manning, M.D.
• Joshua Nathaniel Manning, PT
• Theresa Mannino, PT
• Scarlett Martin, OTR/L
• Hope McCloud
• Hayden McCole
• Darlanna Meckley, MSW
• Ethan R Messenger
• Abraam Metry

• Physical Therapist in Shippensburg, PA
• Providers in Shippensburg, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.