Tara Ticomb

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

141 Durham Rd
Ste 14
Madison, CT 06443-2676

Phone

(203) 245-0001

NPI assigned

Aug 30, 2006

Last updated

Jul 8, 2007By 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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Madison Rehabilitation Center Inc

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Madison, CT
  • NPI 1750350245

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881704385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 OLD HICKORY LN",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064052828",
            "telephone_number": "631-839-1470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 DURHAM RD",
            "address_2": "STE 14",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064432676",
            "telephone_number": "203-245-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TICOMB",
        "first_name": "TARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "000857",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Gaetani Center
• The Harp Group, LLC (Comfort Keepers of Guilford #785)
• The Marlan Group,LLC.
• The Stop & Shop Supermarket Company, LLC (Stop and Shop Pharmacy #624)
• The Wellness Place
• Scott A Tordoff, LMFT
• Touchpoint Physical Therapy, LLC
• Town of Madison
• Maureen Townsend, LCSW
• Townshend-Lacock, Inc.

• Physical Therapist in Madison, CT
• Providers in Madison, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.