Individual provider Active NPI

Tamara A Hepburn, DPT

  • Physical Therapist
  • North Port, FL
National Provider Identifier
1871926303
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 25869 Issued in FL
Practice address
7787 Packer LN
North Port, FL 34291-5786
Phone
(941) 544-7907
NPI assigned
Aug 20, 2013
Last updated
Apr 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40344 CA
Physical Therapist 225100000X PT871458 DC
Physical Therapist 225100000X 2305207739 VA
Physical Therapist 225100000X PT 25869 FL Primary

Addresses

Primary practice location

7787 Packer LN
North Port, FL 34291-5786

Mailing address

7787 Packer LN
North Port, FL 34291-5786
Phone (941) 544-7907

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240604000279 FL Practitioner - Physical Therapist in Private Practice 4880136001 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lumana Physical Therapy and Wellness Center CorpGroup PAC ID 2668621970, 2 clinicians

Practice addresses (Care Compare)

810 NE 125TH St
North Miami, FL 33161-5712
Phone (305) 364-5409

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40344CAMDMarriage & Family Therapist
PT871458DCMDPhysical Therapist
PT 25869FLMDPhysical Therapist
2305207739VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lumana Physical Therapy & Wellness Center Corp CurrentSince Apr 1, 2024 Accepting new patients

Locations

810 NE 125th St
North Miami, FL 33161
Phone (305) 364-5409

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1376956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1871926303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7787 PACKER LN",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342915786",
            "telephone_number": "941-544-7907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7787 PACKER LN",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342915786",
            "telephone_number": "941-544-7907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEPBURN",
        "first_name": "TAMARA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-20",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "40344",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DC",
            "license": "PT871458",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305207739",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 25869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Port, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.