Individual provider Active NPI

Taryn Blake Tomassacci, PTA

  • Physical Therapy Assistant
  • Piscataway, NJ
National Provider Identifier
1871000729
Registry record updated Jan 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
40QB00346000 Issued in NJ
Practice address
10 Sterling Dr
Piscataway, NJ 08854-4911
Phone
(732) 917-2900
NPI assigned
Jan 1, 2018
Last updated
Jan 1, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X TE010104 PA
Physical Therapy Assistant 225200000X 40QB00346000 NJ Primary

Addresses

Primary practice location

10 Sterling Dr
Piscataway, NJ 08854-4911

Mailing address

12 Andover Ave
Bridgewater, NJ 08807-2674
Phone (908) 642-5134

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
40QB00346000NJMDPhysical Therapy Assistant
TE010104PAMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1514764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514764800000",
    "number": "1871000729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 ANDOVER AVE",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088072674",
            "telephone_number": "908-642-5134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 STERLING DR",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088544911",
            "telephone_number": "732-917-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMASSACCI",
        "first_name": "TARYN",
        "middle_name": "BLAKE",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-01",
        "last_updated": "2018-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TE010104",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NJ",
            "license": "40QB00346000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Piscataway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2018; 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.