Active NPI
Tara Kaye Howell, PTA
- Specialist
- Portage, IN
National Provider Identifier
1841473576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 06003499A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 06003499A | IN | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Developmentally Disabled Services Day Training Agency
- Portage, IN
- NPI 1205051190
-
- Physical Therapist
- Gary, IN
- NPI 1609068808
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.