Tarah Jeanette-Gonzalez Sparkman, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

293650 Issued in CA

Practice address

27169 Ca. Hwy 189
Suite 2
Blue Jay, CA 92317

Phone

(909) 754-4097

NPI assigned

Dec 18, 2017

Last updated

Jul 9, 2025By 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

• Tarah Jeanette Gonzalez Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Altitude Physical Therapy & Fitness P.C.

  • Physical Therapy Clinic/Center
  • Blue Jay, CA
  • NPI 1942791744
  NPD Authorized official
• Lake Arrowhead Physical Therapy

  • Critical Access Hospital
  • Lake Arrowhead, CA
  • NPI 1427486802
  NPD (past)

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

{
    "created_epoch": "1513555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1841706520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 193",
            "city": "BLUE JAY",
            "state": "CA",
            "postal_code": "923170193",
            "telephone_number": "909-754-4097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27169 CA. HWY 189",
            "address_2": "SUITE 2",
            "city": "BLUE JAY",
            "state": "CA",
            "postal_code": "92317",
            "telephone_number": "909-754-4097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARKMAN",
        "first_name": "TARAH",
        "middle_name": "JEANETTE-GONZALEZ",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-18",
        "last_updated": "2025-07-09",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "293650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARAH",
            "last_name": "GONZALEZ",
            "middle_name": "JEANETTE",
            "credential": "DPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Pamela Perlmutter
• Meaghan Plooy, PHARMACY TECHNICIAN
• Lisa Ann Reavley, LMT
• Jill Marie Rhoades, LVN
• Serenity Lodge Inc
• Duy Nguyen Tang, RPH
• Thrifty Payless Inc (Rite Aid Pharmacy 05692)
• Thrify Payless Inc
• Terrance Tolbirt, D.C.
• Sylvia Tuch, CRNA

• Physical Therapist in Blue Jay, CA
• Providers in Blue Jay, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; 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.