Active NPI
Tara J Tucker-Roberts, PTA
- Physical Therapy Assistant
- Spring Hill, FL
National Provider Identifier
1588060222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA25075
- Practice address
- 2349 Waterfall Dr
Spring Hill, FL 34608-4644 - Phone
- (352) 345-7285
- NPI assigned
- Nov 7, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA25075 | FL | Primary |
| Physical Therapy Assistant | 225200000X | PTA48572 | CA |
Addresses
Primary practice location
2349 Waterfall Dr
Spring Hill, FL 34608-4644
Mailing address
2349 Waterfall Dr
Spring Hill, FL 34608-4644
Phone (352) 345-7285
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
| License | State | Type | Specialty |
|---|---|---|---|
| PTA48572 | CA | MD | Physical Therapy Assistant |
| PTA25075 | FL | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493164800000",
"number": "1588060222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2349 WATERFALL DR",
"city": "SPRING HILL",
"state": "FL",
"postal_code": "346084644",
"telephone_number": "352-345-7285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2349 WATERFALL DR",
"city": "SPRING HILL",
"state": "FL",
"postal_code": "346084644",
"telephone_number": "352-345-7285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER-ROBERTS",
"first_name": "TARA",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-07",
"last_updated": "2017-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "PTA25075",
"primary": true
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "PTA48572",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spring Hill, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.