Tara Becker, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT60618380 Issued in WA

Practice address

17650 140TH Ave SE
Ste B-07
Renton, WA 98058-6814

Phone

(425) 430-0700

Fax

(425) 430-0710

NPI assigned

Oct 13, 2015

Sex

Female

Sole proprietor

No

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

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clear Choice Physical Therapy,IncGroup PAC ID 1355667957, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Clear Choice Physical Therapy,Inc

  • Physical Therapist
  • Fort Lauderdale, FL
  • NPI 1265840318
  Medicare reassignment Care Compare group NPD
• Clear Choice Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Fort Lauderdale, FL
  • NPI 1477231595
  NPD
• Apple Physical Therapy, LLC

  • Physical Therapist
  • Auburn, WA
  • NPI 1902808470
  NPD (past)

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

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456963200000",
    "number": "1811368160",
    "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": "630-296-2223",
            "fax_number": "630-759-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17650 140TH AVE SE",
            "address_2": "STE B-07",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980586814",
            "telephone_number": "425-430-0700",
            "fax_number": "425-430-0710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER",
        "first_name": "TARA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-13",
        "last_updated": "2016-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.021595",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60618380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larry Leon Beach, O.D.
• Beatty and Cottam PLLC
• Bruce Beauchamp, L.P.N.
• Andie Beck, M.S., CCC-SLP
• Mackenzie Anne Becker, OTD, OTR/L
• Cynthia Becklund, PTA
• Amanda Elizabeth Beckstead
• Shelli Beecher-Seitzler, MA, LMHC, NCC
• Debbie Beecher, PHARMD
• Matthew J Beecroft, MD

• Physical Therapist in Renton, WA
• Providers in Renton, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; 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.