Tara Terrazas, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-2023-2342 Issued in NM

Practice address

2529 Dos Rios Dr
Chama, NM 87520-0146

Phone

(505) 429-0827

NPI assigned

Dec 11, 2023

Last updated

Dec 11, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

La Clinica del Pueblo de Rio ArribaGroup PAC ID 9638148018, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HFHCBA

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.

• La Clinica del Pueblo de Rio Arriba

  • Federally Qualified Health Center (FQHC)
  • Tierra Amarilla, NM
  • NPI 1598797805
  Medicare reassignment Care Compare group NPD
• La Clinica del Pueblo de Rio Arriba

  • Land Ambulance
  • Tierra Amarilla, NM
  • NPI 1215129291
  NPD
• La Clinica del Pueblo de Rio Arriab

  • Clinic/Center
  • Tierra Amarilla, NM
  • NPI 1861630410
  NPD (past)

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1891562674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 813",
            "city": "CHAMA",
            "state": "NM",
            "postal_code": "875200813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2529 DOS RIOS DR",
            "city": "CHAMA",
            "state": "NM",
            "postal_code": "875200146",
            "telephone_number": "505-429-0827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRAZAS",
        "first_name": "TARA",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-11",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "PT-2023-2342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patience Grasshopper Therapeutics
• Melissa Dawn Rivera
• Riverbear Counseling LLC
• Patricia Serna, LISW
• Kathleen Lesh Smith, L.M.T., C.N.M.T.
• Therapeutic Solutions of New Mexico
• Rolando M Tong, MD
• Jeffrey Versaw, L.I.S.W.

• Physical Therapist in Chama, NM
• Providers in Chama, NM by specialty
• Physical Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; 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.