Omer Tariq, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2306603364 Issued in VA

Practice address

9160 Belvoir Woods Pkwy
Ft Belvoir, VA 22060-2703

Phone

(703) 781-2447

Fax

(703) 799-0189

NPI assigned

Nov 26, 2012

Sex

Male

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1353888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353888000000",
    "number": "1649514043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6822 KITE FLYER CT",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221503043",
            "telephone_number": "703-980-9188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9160 BELVOIR WOODS PKWY",
            "city": "FT BELVOIR",
            "state": "VA",
            "postal_code": "220602703",
            "telephone_number": "703-781-2447",
            "fax_number": "703-799-0189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARIQ",
        "first_name": "OMER",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-26",
        "last_updated": "2012-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306603364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Libertine Magallon Tabo
• Mary N Tabot, PHARMD
• Kwami Taichi, PA
• Shelagh Katherine Talbot, M.D.
• Ruth Ann Talley, LCSW
• Albert William Taylor II, MD
• Chelsea Taylor
• Christopher Alan Taylor, D.P.M.
• Wosenyelew Mulat Tedla, M.D.
• Josephine Devera Tefferi, PHARM.D.

• Physical Therapy Assistant in Ft Belvoir, VA
• Providers in Ft Belvoir, VA by specialty
• Physical Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; 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.