Tara M Koester, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

23954 Issued in MD

Practice address

620 W Macphail Rd
Ste 105
Bel Air, MD 21014-4474

Phone

(410) 399-9590

Fax

(410) 399-9591

NPI assigned

Feb 15, 2012

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 M Heller Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1329264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476835200000",
    "number": "1841563236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3455 HIGHWAY 81",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300529138",
            "telephone_number": "770-554-0665",
            "fax_number": "770-554-0685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 W MACPHAIL RD",
            "address_2": "STE 105",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144474",
            "telephone_number": "410-399-9590",
            "fax_number": "410-399-9591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOESTER",
        "first_name": "TARA",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-15",
        "last_updated": "2016-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "23954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "HELLER",
            "middle_name": "M",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robert Knight, M.D.
• Terry L Knight, LCPC
• Knot Bad Massage, LLC
• Anna Stefania Kobus, CCC-SLP
• Karen L Koermer, PT
• Carole Benisch Kohl, CRNP MS RN
• James Fredrick Kohl, MSSW LCSW C
• Heather Arlene Kohlbus, ATC
• Nathan W Koller, P.A.
• Caroline V. Koluch, R.PH, MBA

• Physical Therapist in Bel Air, MD
• Providers in Bel Air, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; 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.