Individual provider Active NPI

Tara Narine Black, OTR/L

  • Occupational Therapist
  • Longmont, CO
National Provider Identifier
1619855418
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT.0004647 Issued in CO
Practice address
1380 Charles Dr
Longmont, CO 80503-2354
Phone
(720) 666-7691
NPI assigned
Aug 21, 2025
Sex
Female
Sole proprietor
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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT.0004647 CO Primary

Addresses

Primary practice location

1380 Charles Dr
Longmont, CO 80503-2354

Mailing address

1371 Hecla Dr Ste D130
Louisville, CO 80027-2318
Phone (303) 963-5582

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250905001602 CO Practitioner - Occupational Therapist in Private Practice 4183126527 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Tufts University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aspire Therapy and Wellness LLCGroup PAC ID 9032521448, 29 clinicians

Practice addresses (Care Compare)

1371 Hecla Dr
Suite E
Louisville, CO 80027-2318
Phone (303) 963-5582

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT.0004647COMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire Therapy and Wellness LLC Occupational Therapist CurrentSince Aug 22, 2025 Accepting new patients

Locations

1371 Hecla Dr
Ste D130
Louisville, CO 80027
Phone (303) 936-5582

1371 Hecla Dr
Ste E
Louisville, CO 80027
Phone (303) 665-6064

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1755734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1619855418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1371 HECLA DR STE D130",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800272318",
            "telephone_number": "303-963-5582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 CHARLES DR",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805032354",
            "telephone_number": "720-666-7691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "TARA",
        "middle_name": "NARINE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-21",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "OT.0004647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

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.
  • 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.