Tara S Barnes, PT
Individual provider Active NPI Specialist · Memphis, TN
NPI 1902020704 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1902020704
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- PT0000006606 (TN)
- Practice address
- 54 S Prescott St
Memphis, TN 38111-4619 - Phone
- (901) 257-3422
- Fax
- (901) 257-3423
- NPI assigned
- Apr 12, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT0000006606 | TN | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Momentum Physical Rehabilitation, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | PT0000006606 | TN | Yes |
Addresses
Primary practice location
54 S Prescott St
Memphis, TN 38111-4619
Mailing address
445 Alexander St
Memphis, TN 38111-4442
Phone (901) 257-3422
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.