Active NPI
Theresa Leigh Tarr, M.T
- Massage Therapist
- Pagosa Springs, CO
National Provider Identifier
1932481389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 422
- Practice address
- 456 Pagosa St
Pagosa Springs, CO 81147 - Phone
- (970) 946-2513
- NPI assigned
- Sep 12, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 422 | CO | Primary |
Addresses
Primary practice location
456 Pagosa St
Pagosa Springs, CO 81147
Mailing address
1001 Catchpole Dr
Pagosa Springs, CO 81147-7820
Phone (970) 946-2513
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)
- Not enrolled
- Credentials
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 422 | CO | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315785600000",
"number": "1932481389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 CATCHPOLE DR",
"city": "PAGOSA SPRINGS",
"state": "CO",
"postal_code": "811477820",
"telephone_number": "970-946-2513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "456 PAGOSA ST",
"city": "PAGOSA SPRINGS",
"state": "CO",
"postal_code": "81147",
"telephone_number": "970-946-2513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TARR",
"first_name": "THERESA",
"middle_name": "LEIGH",
"credential": "M.T",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-12",
"last_updated": "2011-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CO",
"license": "422",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pagosa Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.