Tara Tennison Fitzgerald, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P10414 Issued in NC

Practice address

5114 Providence Rd
Charlotte, NC 28226-5852

Phone

(704) 900-0126

NPI assigned

Oct 12, 2009

Sex

Female

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)

Enrolled

State licenses

Practice roles

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.

• The Neurological Institute PA

  • Neurology Physician
  • Charlotte, NC
  • NPI 1407807092
  NPD (past)
• United Sleep Medicine Associates PA

  • Sleep Disorder Diagnostic Clinic/Center
  • Charlotte, NC
  • NPI 1033172960
  NPD (past)

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

{
    "created_epoch": "1255305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255305600000",
    "number": "1730414608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10405 SARDIS OAKS RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282701016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5114 PROVIDENCE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282265852",
            "telephone_number": "704-900-0126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "TARA",
        "middle_name": "TENNISON",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-12",
        "last_updated": "2009-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P10414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ciera Caylin Fitzgerald, FNP
• Jamillah Fitzgerald, LCAS-A
• Jeremy Fitzgerald
• Kelly Rose Fitzgerald, MOT, OTR/L
• Margaret Thompson Fitzgerald
• Stephanie Lindsey Fitzpatrick, RPH
• Megan Lynn Fitzsimmons, DNP, APRN, CPNP-PC
• Nicholas J Fitzsimons, MD
• Kelly Fitzwater, MSW, LCSW
• Five Star Quality Care

• Physical Therapist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2009; 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.