Mary E Tatar, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0284601 Issued in NY

Practice address

156 West Ave
Brockport, NY 14420-1229

Phone

(585) 395-6093

Fax

(585) 395-6035

NPI assigned

Sep 7, 2006

Last updated

May 2, 2011By the provider in NPPES

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 names 1

• Miss Mary E Johnson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Finger Lakes United Cerebral Palsy, Inc.

  dba Happiness House

  • Clinic/Center
  • Canandaigua, NY
  • NPI 1194835462
  NPD (past)
• United Cerebral Palsy Association of the Rochester Area, Inc.

  dba CP Rochester

  • Clinic/Center
  • Rochester, NY
  • NPI 1942275821
  NPD (past)

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304294400000",
    "number": "1518060375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 WEST AVE",
            "city": "BROCKPORT",
            "state": "NY",
            "postal_code": "144201229",
            "telephone_number": "585-395-6093",
            "fax_number": "585-395-6035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 WEST AVE",
            "city": "BROCKPORT",
            "state": "NY",
            "postal_code": "144201229",
            "telephone_number": "585-395-6093",
            "fax_number": "585-395-6035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATAR",
        "first_name": "MARY",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-07",
        "last_updated": "2011-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0284601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "JOHNSON",
            "middle_name": "E",
            "prefix": "MISS",
            "credential": "MSPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bebielyn A Sullivan, LPN
• Tamara Sullivan, LMHC
• Josiah James Surbatovich, PHYSICIAN ASSISTANT
• Suri Karthikeyan MDPC
• Benjamin Taillie, PT
• Trista Jamie Teets
• Tender Loving Family Care, Inc.
• Yen-Tung Andy Teng, DDS
• Thomas Maxwell Thaney, D.D.S.
• The Optical Room Inc (the towpath optician)

• Physical Therapist in Brockport, NY
• Providers in Brockport, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.