Active NPI
Tabitha Charles Muracco, MSPT
- Physical Therapist
- Collegeville, PA
National Provider Identifier
1629119433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT013629L
- Practice address
- 555 2ND Ave
Collegeville, PA 19426-3600 - Phone
- (610) 489-5772
- NPI assigned
- Feb 12, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT013629L | PA | Primary |
Addresses
Primary practice location
555 2ND Ave
Collegeville, PA 19426-3600
Mailing address
3202 Eland Downe
Phoenixville, PA 19460-1311
Other names 1
- Tabitha Kay Charles
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dynamic Physical Therapy | Physical Therapist | 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 and National Provider Directory roles.
-
- Physical Therapist
- Bear, DE
- NPI 1306875984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629119433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3202 ELAND DOWNE",
"city": "PHOENIXVILLE",
"state": "PA",
"postal_code": "194601311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 2ND AVE",
"city": "COLLEGEVILLE",
"state": "PA",
"postal_code": "194263600",
"telephone_number": "610-489-5772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURACCO",
"first_name": "TABITHA",
"middle_name": "CHARLES",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT013629L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TABITHA",
"last_name": "CHARLES",
"middle_name": "KAY",
"credential": "MSPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Collegeville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.