Tara Lynn White, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

19976 Issued in MA

Practice address

12 Balmoral Dr
North Billerica, MA 01862-1636

Phone

(603) 493-2621

NPI assigned

Nov 23, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1353628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662768000000",
    "number": "1932443488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 BALMORAL DR",
            "city": "NORTH BILLERICA",
            "state": "MA",
            "postal_code": "018621636",
            "telephone_number": "603-493-2621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 BALMORAL DR",
            "city": "NORTH BILLERICA",
            "state": "MA",
            "postal_code": "018621636",
            "telephone_number": "603-493-2621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "70 Butler Street",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "NH",
            "postal_code": "030793974",
            "country_code": "US",
            "telephone_number": "603-893-2900",
            "fax_number": "603-893-1628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "TARA",
        "middle_name": "LYNN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-23",
        "last_updated": "2022-09-10",
        "certification_date": "2022-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": null,
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "MA",
            "license": "19976",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "19976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adelyn Maria Tzovaras
• Ellen S Vig
• Richard Waldman, DMD
• Haley Elizabeth Watson, MA
• Abigail White
• Rory Wise, DPT
• Joseph Wu
• PO-Hsi Wu, D.M.D.
• Nolan Shih Cheng Yang
• Syin-Ying Yu, DMD

• Physical Therapist in North Billerica, MA
• Providers in North Billerica, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2022; 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.