Individual provider Active NPI

Tara Jo Pickart Saul, PT, DPT, ATC

  • Physical Therapist
  • Solon, IA
National Provider Identifier
1932508579
Registry record updated May 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
073510 Issued in IA
Practice address
411 Haganman LN Unit D
Solon, IA 52333-9760
Phone
(319) 624-1250
Fax
(319) 624-1252
NPI assigned
Aug 20, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 073510 IA Primary

Addresses

Primary practice location

411 Haganman LN Unit D
Solon, IA 52333-9760

Mailing address

411 Haganman LN Unit D
Solon, IA 52333-9760
Phone (319) 624-1250

Other identifiers 2

IdentifierTypeStateIssuer
1932508579MedicaidIA
P02129382OtherIARR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141013001022 IA Practitioner - Physical Therapist in Private Practice 7012137151 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Creighton University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ability Physical Therapy PCGroup PAC ID 1153313986, 13 clinicians

Practice addresses (Care Compare)

300 Virgil Ave
Mount Vernon, IA 52314-9569
Phone (319) 895-8655

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ability Physical Therapy, P.C. Physical Therapist CurrentSince May 11, 2020 Accepting new patients

Locations

999 44th St
Ste 10000
Marion, IA 52302
Phone (319) 373-7311

300 Virgil Ave
Mount Vernon, IA 52314
Phone (319) 865-8655

411 Haganman Ln
Unit D
Solon, IA 52333
Phone (319) 624-1250

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1408492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588723200000",
    "number": "1932508579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 HAGANMAN LN UNIT D",
            "city": "SOLON",
            "state": "IA",
            "postal_code": "523339760",
            "telephone_number": "319-624-1250",
            "fax_number": "319-624-1252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 HAGANMAN LN UNIT D",
            "city": "SOLON",
            "state": "IA",
            "postal_code": "523339760",
            "telephone_number": "319-624-1250",
            "fax_number": "319-624-1252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUL",
        "first_name": "TARA JO",
        "middle_name": "PICKART",
        "name_prefix": "Mrs.",
        "credential": "PT, DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-20",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "073510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1932508579",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P02129382",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Solon, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2020; 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.