NPIMap

Individual provider Active NPI

Chetna Tara

  • Physical Therapist
  • Silver Spring, MD
National Provider Identifier
1912387481
Registry record updated May 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
24721 Issued in MD
Practice address
4011 Randolph Rd
Rehab Department
Silver Spring, MD 20902-1054
Phone
(301) 933-2500
NPI assigned
May 31, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 24721 MD Primary
Physical Therapist 225100000X 871568 DC
Physical Therapist 225100000X 035479 NY

Addresses

Primary practice location

4011 Randolph Rd
Rehab Department
Silver Spring, MD 20902-1054

Mailing address

4011 Randolph Rd
Rehab Department
Silver Spring, MD 20902-1054

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
035479NYMDDentist
871568DCMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1433030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433030400000",
    "number": "1912387481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4011 RANDOLPH RD",
            "address_2": "REHAB DEPARTMENT",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209021054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 RANDOLPH RD",
            "address_2": "REHAB DEPARTMENT",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209021054",
            "telephone_number": "301-933-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARA",
        "first_name": "CHETNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-31",
        "last_updated": "2015-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "24721",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DC",
            "license": "871568",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "035479",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2015; 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.