Tara Danielle Marean, DPT
Individual provider Active NPI Physical Therapist · Van Alstyne, TX
NPI 1811570856 · NPPES record last updated Nov 15, 2022
Key facts
- NPI
- 1811570856
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1344293 (TX)
- Practice address
- 176 N Main St
Van Alstyne, TX 75495-9700 - Phone
- (903) 482-9741
- Fax
- (903) 482-9742
- NPI assigned
- Apr 28, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Peak Physical Therapy, LLC
Practice addresses (Care Compare)
176 N Main St
Van Alstyne, TX 75495-9700
Phone (903) 482-9741
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221217000016 | TX | Practitioner - Physical Therapist in Private Practice | 7214306067 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 045358 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peak Physical Therapy, LLC | Physical Therapist | Current |
Accepting new patients |
| Bir JV LLP | Past |
Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
104 E US Highway 80
Ste 180
Forney, TX 75126
Phone (972) 564-3390
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1344293 | TX | Yes |
| Physical Therapist | 225100000X | 045358 | NY |
Addresses
Primary practice location
176 N Main St
Van Alstyne, TX 75495-9700
Mailing address
1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 541-5492
Other providers in Van Alstyne, TX
- Jackson Matthew Lloyd
- Loving Healthcare LLC
- Debbie Lubin
- Luv Medgroup LLC
- Lux Aesthetic Medical Services, LLC
- Bethany Dianna McMinn
- Medical Edge Healthcare Group PA
- Sheryl Merchant
- Wilfred Terry Moncier Jr.
- Kendall Morin
All providers in Van Alstyne, TX · Physical Therapist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.