Tara Lee Kannas, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

092337 Issued in IA

Practice address

509 13TH St Ste B
Belle Plaine, IA 52208-1521

Phone

(319) 434-6150

NPI assigned

Jun 12, 2018

Last updated

Dec 2, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Tara Lee Selvy Former name

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sac and Fox of the Miss in IowaGroup PAC ID 6507806239, 11 clinicians

Athletico LTDGroup PAC ID 4789602681, 2,187 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.32 of 100Reported as group

Quality

84.44

Promoting interoperability

99

Improvement activities

40

Cost

70.78

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Athletico LTD

  dba Athletico Physical Therapy

  • Physical Therapist
  • Oak Brook, IL
  • NPI 1821085028

  IA

  Medicare reassignment Care Compare group NPD
• Sac & Fox of the Miss in Iowa

  • Primary Care Clinic/Center
  • Tama, IA
  • NPI 1962618355
  Medicare reassignment Care Compare group
• Athletico LTD

  dba Athletico Physical Therapy

  • Clinic/Center
  • Lafayette, IN
  • NPI 1053044867

  Physical Therapist

  NPD
• Eastern Iowa Therapeutics PC

  dba Athletico Physical Therapy

  • Physical Therapist
  • Belle Plaine, IA
  • NPI 1952796716
  NPD (past)

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669939200000",
    "number": "1821581984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 OAKMONT LN STE 600C",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605595548",
            "telephone_number": "630-575-1980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 13TH ST STE B",
            "city": "BELLE PLAINE",
            "state": "IA",
            "postal_code": "522081521",
            "telephone_number": "319-434-6150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1229 C Ave E",
            "address_purpose": "LOCATION",
            "city": "Oskaloosa",
            "state": "IA",
            "postal_code": "525774246",
            "country_code": "US",
            "telephone_number": "641-672-3306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANNAS",
        "first_name": "TARA",
        "middle_name": "LEE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-12",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "092337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "SELVY",
            "middle_name": "LEE",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tawnya Rene Gardener, RPH
• Carrie Ella Gracey, PT
• Hartig Drug Co Corp (Hartig Drug Co #26)
• Iowa Physicians Clinic Medical Foundation (Belle Plaine Family Medicine)
• Tad Louis Jacobi, DC
• Kingdom Dental Care
• Michelle M Malloy, ARNP
• MCLD Corporation (Belle Plaine Pharmacy)
• Bryon Lee Palmer, D.D.S.
• Carla Reed

• Physical Therapist in Belle Plaine, IA
• Providers in Belle Plaine, IA by specialty
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; 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.