Heather Tack

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT26586 Issued in FL

Practice address

1944 N Hercules Ave Ste C
Clearwater, FL 33763-4403

Phone

(727) 442-9670

NPI assigned

Jul 6, 2011

Sex

Female

Sole proprietor

Yes

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

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

PT Solutions of Pensacola, LLCGroup PAC ID 7517102973, 32 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• PT Solutions of Pensacola, LLC

  • Physical Therapist
  • Pensacola, FL
  • NPI 1730439092
  Medicare reassignment Care Compare group NPD
• PT Solutions of Pensacola LLC

  • Physical Therapist
  • Palm Coast, FL
  • NPI 1336602242
  NPD
• PT Solutions of Pensacola LLC

  • Physical Therapist
  • Palm Coast, FL
  • NPI 1417517350
  NPD

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309910400000",
    "number": "1710274113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1944 N HERCULES AVE STE C",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337634403",
            "telephone_number": "727-442-9670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1944 N HERCULES AVE STE C",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337634403",
            "telephone_number": "727-442-9670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TACK",
        "first_name": "HEATHER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-06",
        "last_updated": "2011-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT26586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nikki Szlamnik, BT
• T.B.C. Ventures LLC
• T'Allure Tresses & Beauty
• Alisa Tabak, BA
• Nejra Tabakovic, PA-C
• Kristie Lynn Taddie, D.P.M.
• Abida Taher, M.D, PHD
• Kimiko Takezawa, M.D.
• Kinjal K Talati, NP
• Angelica B. Talic-Rajendran, D.O.

• Physical Therapist in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2011; 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.