Tara Maria Jennings Irwin, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

29877 Issued in FL

Practice address

11962 CR 101 #104
The Villages, FL 32162

Phone

(352) 693-3378

NPI assigned

Dec 13, 2019

Last updated

Dec 13, 2019By the provider in NPPES

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1576195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576195200000",
    "number": "1740828391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 JUNIPER TRACK DR",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344809598",
            "telephone_number": "352-208-3233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11962 CR 101 #104",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "32162",
            "telephone_number": "352-693-3378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS IRWIN",
        "first_name": "TARA",
        "middle_name": "MARIA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-13",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "29877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Russell OD PA
• Varendra Jamwant, DPM
• Courtney Lynne Jans
• Sharon McKinney Jaquith, APN
• Hamsa Patricia Jayaraj, MD
• Jet Maids Inc
• Timothy D Jetton, M.D.
• Falon Melissa Jimenez Irwin, PT, DPT, CSCS
• John a Giglio DO PA
• John C Theeck DC PA (Legacy Clinic of Chiropractic)

• Physical Therapy Assistant in The Villages, FL
• Providers in The Villages, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; 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.