Tara Lee Brenner, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT009797L Issued in PA

Practice address

417 Village Dr
Carlisle, PA 17015-6945

Phone

(717) 245-0610

Fax

(717) 245-0899

NPI assigned

Mar 16, 2018

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

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

{
    "created_epoch": "1521158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521158400000",
    "number": "1578066460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 MINICH DR",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170159345",
            "telephone_number": "717-576-3221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 VILLAGE DR",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170156945",
            "telephone_number": "717-245-0610",
            "fax_number": "717-245-0899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNER",
        "first_name": "TARA",
        "middle_name": "LEE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-16",
        "last_updated": "2018-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT009797L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Chaffee Braund, RN, CRNP
• Bernadette Acdan Braze, DO
• Joseph F Brazel, M.D.
• Christine Brehm-Stroman, BSDH, PHDHP, MPH
• Kristin Patrice Brenize-Wewer, LMFT
• Alyssa Shedlock Bretz, PA-C
• Kaitlyn Marie Bretz, FNP-C
• Ryan Michael Brewbaker, DPT
• Megan Lindsay Briggs, LPC
• Samantha Brinkman, BA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2018; 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.