Organization Active NPI

Ta Ta-Toos, LLC

  • Other Specialist/Technologist
  • Canonsburg, PA
National Provider Identifier
1528853074
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other Specialist/TechnologistTaxonomy code 246Z00000X
Legal business name
TA TA-TOOS, LLC
Practice address
4000 Washington Rd Ste 203B
Canonsburg, PA 15317-2583
Phone
(412) 480-5609
NPI assigned
Apr 14, 2025
Last updated
Aug 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Authorized official

Name
Jennifer WilliamsNPI 1174971295
Title
Owner
Phone
(407) 982-4876

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other Specialist/Technologist 246Z00000X NU Primary

Addresses

Primary practice location

4000 Washington Rd Ste 203B
Canonsburg, PA 15317-2583

Mailing address

4000 Washington Rd Ste 203B
Canonsburg, PA 15317-2583

National Provider Directory

National Provider Directory

Locations

4000 Washington Rd
Ste 203B
Canonsburg, PA 15317
Phone (412) 480-5609

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1744588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755734400000",
    "number": "1528853074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 WASHINGTON RD STE 203B",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153172583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 WASHINGTON RD STE 203B",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153172583",
            "telephone_number": "412-480-5609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TA TA-TOOS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-982-4876"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canonsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; 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.