Individual provider Active NPI

Tara Jill Acton, OTR/L

  • Occupational Therapist
  • Anchorage, AK
National Provider Identifier
1538465653
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
PHYO2055 Issued in AK
Practice address
1130 W Dimond Blvd Ste B
Anchorage, AK 99515-1511
Phone
(205) 919-2228
NPI assigned
Feb 7, 2011
Last updated
Sep 1, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X PHYO2055 AK Primary

Addresses

Primary practice location

1130 W Dimond Blvd Ste B
Anchorage, AK 99515-1511

Mailing address

1130 W Dimond Blvd Ste B
Anchorage, AK 99515-1511
Phone (205) 919-2228

Other practice location 1

513 Pam Ave
Glencoe, AL 35905-1027
Phone (205) 919-2228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PHYO2055AKMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kids First Pediatric Therapy Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1297036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1538465653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 W DIMOND BLVD STE B",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995151511",
            "telephone_number": "205-919-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 W DIMOND BLVD STE B",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995151511",
            "telephone_number": "205-919-2228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "513 Pam Ave",
            "address_purpose": "LOCATION",
            "city": "Glencoe",
            "state": "AL",
            "postal_code": "359051027",
            "country_code": "US",
            "telephone_number": "205-919-2228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ACTON",
        "first_name": "TARA",
        "middle_name": "JILL",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-07",
        "last_updated": "2020-09-01",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AK",
            "license": "PHYO2055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; 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.