Active NPI
Tara Maria Bracciante, PT, DPT
- Physical Therapist
- Kennett Square, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT025813
- 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, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
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
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 100
- Quality
- 89.12
- Improvement activities
- 40
- Cost
- 73.46
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ati Holdings, LLC | Physical Therapist | Current | Accepting new patients |
| Ati Holdings, LLC | Physical Therapist | Current | 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.
-
dba ATI Physical Therapy
- Physical Therapy Clinic/Center
- Rising Sun, MD
- NPI 1396781050
PA, Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- King of Prussia, PA
- NPI 1750194460
Physical Therapist
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.