Individual provider Active NPI

Tara Marie Dawson, DPT

  • Physical Therapist
  • Fishers, IN
National Provider Identifier
1710590872
Registry record updated Aug 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05013811A Issued in IN
Practice address
10412 Allisonville Rd Ste 117
Fishers, IN 46038-2035
Phone
(317) 567-8500
Fax
(317) 567-8501
NPI assigned
Aug 28, 2020
Last updated
Aug 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 05013811A IN Primary

Addresses

Primary practice location

10412 Allisonville Rd Ste 117
Fishers, IN 46038-2035

Mailing address

8902 N Meridian St Ste 120
Indianapolis, IN 46260-5306
Phone (317) 581-1890

Other practice location 1

70 Brendon Way
Zionsville, IN 46077-1945
Phone (317) 733-2800

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

State licenses

LicenseStateTypeSpecialty
05013811AINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Body One Health and Fitness Center, LLC Physical Therapist CurrentSince Aug 1, 2020 Accepting new patients

Locations

10412 Allisonville Rd
Ste 117
Fishers, IN 46038
Phone (317) 567-8500

8902 N Meridian St
Ste 120
Indianapolis, IN 46260
Phone (317) 581-1890

70 Brendon Way
Zionsville, IN 46077
Phone (317) 733-2800

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1710590872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8902 N MERIDIAN ST STE 120",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462605306",
            "telephone_number": "317-581-1890",
            "fax_number": "317-581-1890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10412 ALLISONVILLE RD STE 117",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460382035",
            "telephone_number": "317-567-8500",
            "fax_number": "317-567-8501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "70 Brendon Way",
            "address_purpose": "LOCATION",
            "city": "Zionsville",
            "state": "IN",
            "postal_code": "460771945",
            "country_code": "US",
            "telephone_number": "317-733-2800",
            "fax_number": "317-733-2801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAWSON",
        "first_name": "TARA",
        "middle_name": "MARIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-28",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05013811A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; 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.