Individual provider Active NPI

Adell E. Tardy, ASSOCIATES DEGREE

  • Physical Therapy Assistant
  • Houston, TX
National Provider Identifier
1740394279
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2002788 Issued in TX
Practice address
6034 Westover St
Houston, TX 77033-1234
Phone
(713) 794-7192
Fax
(713) 794-7631
NPI assigned
Aug 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2002788 TX Primary

Addresses

Primary practice location

6034 Westover St
Houston, TX 77033-1234

Mailing address

6034 Westover St
Houston, TX 77033-1234
Phone (713) 794-7192

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2002788TXMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740394279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6034 WESTOVER ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770331234",
            "telephone_number": "713-794-7192",
            "fax_number": "713-794-7631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6034 WESTOVER ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770331234",
            "telephone_number": "713-794-7192",
            "fax_number": "713-794-7631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARDY",
        "first_name": "ADELL",
        "middle_name": "E.",
        "name_prefix": "Ms.",
        "credential": "ASSOCIATES DEGREE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2002788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

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.

Verify at the official NPI Registry.