Tara L McIsaac, P.T., PH.D.

Primary specialty

Neurology Physical TherapistTaxonomy code 2251N0400X

License

2643 Issued in AZ

Practice address

516 W 18TH St
Tempe, AZ 85281-6521

Phone

(520) 271-4376

NPI assigned

Jun 1, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Interoperability endpoints

• Direct secure messaging: tara.mcisaac.1@5919.direct.athenahealth.com

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

{
    "created_epoch": "1243814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376092800000",
    "number": "1760618177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 W 18TH ST",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852816521",
            "telephone_number": "520-271-4376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 W 18TH ST",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852816521",
            "telephone_number": "520-271-4376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCISAAC",
        "first_name": "TARA",
        "middle_name": "L",
        "credential": "P.T., PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-01",
        "last_updated": "2013-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "AZ",
            "license": "2643",
            "primary": true
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "NY",
            "license": "028222-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Joseph McHale IV, PHARMD
• Heidi McHardy, L.AC.
• Paul K McIlrath, RPH
• Tamara McIlwain
• David J McIntyre, PH.D., ABPP
• Elisabeth McKay, RD
• Tara L McKeeman, LMSW
• Julianne Storaska McKenzie, BCBA, LBA
• Ryan McKiernan, PHARMD
• Hannah McKinney

• Neurology Physical Therapist in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Neurology Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2013; 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.