Individual provider Active NPI

Tara Maria Bracciante, PT, DPT

  • Physical Therapist
  • Kennett Square, PA
National Provider Identifier
1750829818
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT025813 Issued in PA
Practice address
826 E Baltimore Pike Unit 9
Kennett Square, PA 19348-1870
Phone
(610) 335-1410
Fax
(610) 444-3505
NPI assigned
Feb 8, 2017
Last updated
Nov 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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 PT025813 PA Primary

Addresses

Primary practice location

826 E Baltimore Pike Unit 9
Kennett Square, PA 19348-1870

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (866) 370-8206

Other practice location 1

495 E Waterfront Dr
Suite Number 240
Homestead, PA 15120-1140
Phone (412) 325-2110

Other names 1

  • Tara Munzek Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180412002116 PA Practitioner - Physical Therapist in Private Practice 2567725161 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ati Holdings, LLCGroup PAC ID 9537112719, 440 clinicians

Practice addresses (Care Compare)

826 E Baltimore Pike
Unit 9
Kennett Square, PA 19348-1870
Phone (610) 335-1410

Merit-based Incentive Payment System (MIPS)

Final score
86.05 of 100Reported as group
Quality
89.12
Improvement activities
40
Cost
73.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ati Holdings, LLC Physical Therapist CurrentSince Mar 1, 2018 Accepting new patients
Ati Holdings, LLC Physical Therapist CurrentSince Mar 1, 2018 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

82 Pennsylvania Ave
Avondale, PA 19311
Phone (610) 268-5333

826 E Baltimore Pike
Unit 9
Kennett Square, PA 19348
Phone (610) 335-1410

615 N Morehall Rd
#200
Malvern, PA 19355
Phone (484) 329-2050

9475 Roosevelt Blvd
Philadelphia, PA 19114
Phone (215) 464-6200

1810 E Ridge Pike
Ste 102
Royersford, PA 19468
Phone (484) 902-1460

1377 E Boot Rd
West Chester, PA 19380
Phone (610) 241-9787

Organizations & group practices 2

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": "1486512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1750829818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "866-370-8206",
            "fax_number": "517-435-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 E BALTIMORE PIKE UNIT 9",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193481870",
            "telephone_number": "610-335-1410",
            "fax_number": "610-444-3505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "495 E Waterfront Dr",
            "address_2": "Suite Number 240",
            "address_purpose": "LOCATION",
            "city": "Homestead",
            "state": "PA",
            "postal_code": "151201140",
            "country_code": "US",
            "telephone_number": "412-325-2110",
            "fax_number": "412-325-2113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRACCIANTE",
        "first_name": "TARA",
        "middle_name": "MARIA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-08",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT025813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "MUNZEK",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kennett Square, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; 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.