Active NPI
Tarik Rashad Chase, PT
- Physical Therapist
- Washington, DC
National Provider Identifier
1972507515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT200001255
- Practice address
- 1501 Harry Thomas Way NE
Ste a
Washington, DC 20002-4361 - Phone
- (202) 481-2795
- Fax
- (202) 481-2793
- NPI assigned
- Jun 10, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT200001255 | DC | Primary |
| Physical Therapist | 225100000X | 20977 | MD |
Addresses
Primary practice location
1501 Harry Thomas Way NE
Ste a
Washington, DC 20002-4361
Mailing address
315 V St NE
Washington, DC 20002-1411
Phone (202) 425-8245
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1501 Harry Thomas Way NE
Suite a
Washington, DC 20002-4361
Phone (202) 481-2795
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Back to Life Physical Therapy | Physical Therapist | Current | Accepting new patients |
| Back to Life PT | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- Washington, DC
- NPI 1730847922
Physical Therapist
-
- Physical Therapy Clinic/Center
- Washington, DC
- NPI 1679874572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656374400000",
"number": "1972507515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 V ST NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200021411",
"telephone_number": "202-425-8245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 HARRY THOMAS WAY NE",
"address_2": "STE A",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200024361",
"telephone_number": "202-481-2795",
"fax_number": "202-481-2793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHASE",
"first_name": "TARIK",
"middle_name": "RASHAD",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-10",
"last_updated": "2022-06-28",
"certification_date": "2022-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DC",
"license": "PT200001255",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "20977",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; 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.