Individual provider Active NPI

Tara Kaye Howell, PTA

  • Specialist
  • Portage, IN
National Provider Identifier
1841473576
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
06003499A Issued in IN
Practice address
6873 Mercedes Ave
Portage, IN 46368-2542
Phone
(219) 763-0511
Fax
(219) 764-4439
NPI assigned
Dec 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 06003499A IN Primary

Addresses

Primary practice location

6873 Mercedes Ave
Portage, IN 46368-2542

Mailing address

6873 Mercedes Ave
Portage, IN 46368-2542
Phone (219) 763-0511

Other names 1

  • Tara Kaye Mattheger Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
06003499AINMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
New Beginnings of N. W. Indiana Inc. Past Accepting new patients
Next Level Therapeutic Services LLP Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197849600000",
    "number": "1841473576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6873 MERCEDES AVE",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463682542",
            "telephone_number": "219-763-0511",
            "fax_number": "219-764-4439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6873 MERCEDES AVE",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463682542",
            "telephone_number": "219-763-0511",
            "fax_number": "219-764-4439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWELL",
        "first_name": "TARA",
        "middle_name": "KAYE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-17",
        "last_updated": "2007-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IN",
            "license": "06003499A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "MATTHEGER",
            "middle_name": "KAYE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Portage, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; 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.