Tanya Marie-Helene Labarre, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00007663 Issued in WA

Practice address

4060 Wheaton Way
Suite C
Bremerton, WA 98310-3500

Phone

(360) 479-8477

Fax

(360) 479-8417

NPI assigned

May 3, 2006

Last updated

Nov 12, 2015By 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 identifiers 1

Other names 1

• Tanya Marie-Helene Cardillo Former name

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Peninsula Physical TherapyGroup PAC ID 4284977489, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• North Peninsula Physical Therapy, PLLC

  dba DaVinci Physical Therapy

  • Physical Therapy Clinic/Center
  • Poulsbo, WA
  • NPI 1447718556
  Medicare reassignment Care Compare group NPD
• MVP Physical Therapy, Inc.

  • Physical Therapist
  • Port Orchard, WA
  • NPI 1376501643
  NPD (past)

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447286400000",
    "number": "1548228067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 ORCHARD ST W",
            "address_2": "SUITE 100",
            "city": "FIRCREST",
            "state": "WA",
            "postal_code": "984666606",
            "telephone_number": "253-564-1560",
            "fax_number": "253-564-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4060 WHEATON WAY",
            "address_2": "SUITE C",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983103500",
            "telephone_number": "360-479-8477",
            "fax_number": "360-479-8417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABARRE",
        "first_name": "TANYA",
        "middle_name": "MARIE-HELENE",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2015-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00007663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8341992",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANYA",
            "last_name": "CARDILLO",
            "middle_name": "MARIE-HELENE",
            "credential": "MPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Audra Rose Kuoppala, DC
• Ryan S Kurlak, PHARMD
• Lorelei Kushaney
• L a Professional Service Corp.
• Christopher La Fontaine
• Sean Labelle
• Gayle Renee Labissoniere, LMFT
• Laboratory Corporation of America
• Laboratory Corporation of America
• Laboratory Services Cooperative

• Physical Therapist in Bremerton, WA
• Providers in Bremerton, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2015; 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.