TARA GRACE PORTER (NPI# 1154939346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154939346 |
| Entity Type | Individual |
| Full Name | TARA GRACE PORTER |
| Credential | ATC, LAT |
| Practice Address |
1480 8th St West Plains MO 65775-2010 |
| Practice Telephone | 4179265699 |
| Mailing Telephone | 4179265699 |
| Enumeration Date | 2020-07-14 |
| Last Update Date | 2020-07-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
AT1533 | KY | Allopathic & Osteopathic Physicians |
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2020021125 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699162164 | Tara N Porter | Specialist | 530 S 336th St Ste C, Federal Way, WA 98003-6383 | 2015-04-22 |
| 1285841536 | Tara Leigh Porter | Physical Therapist | 231 Crowe Ave, Mars, PA 16046 | 2007-05-17 |
| 1528088945 | Tara Leigh Porter | Nurse Practitioner | 1540 Spring Valley Dr, Huntington, WV 25704-9300 | 2006-07-20 |
| Street Address |
1480 8TH ST |
| City | WEST PLAINS |
| State | MO |
| Zip Code | 65775-2010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932132875 | Tammera J Barks | Physical Therapy Assistant | 1480 8th St, West Plains, MO 65775-2010 | 2006-07-07 |
| 1942823752 | Emily Rae Perryman | Physical Therapy Assistant | 1480 8th St, West Plains, MO 65775-2010 | 2020-05-27 |
| 1760023451 | Billy Don Sexton | Occupational Therapist | 1480 8th St, West Plains, MO 65775-2010 | 2019-10-03 |
| 1992233233 | Violet Hampton | Physical Therapy Assistant | 1480 8th St, West Plains, MO 65775-2010 | 2017-05-31 |
| 1093122657 | Paul Byrum | Physical Therapist | 1480 8th St, West Plains, MO 65775-2010 | 2014-07-16 |
| 1447698071 | Cameron James Carey | Physical Therapy Assistant | 1480 8th St, West Plains, MO 65775-2010 | 2013-06-05 |
| 1679819502 | Dawn Marie Paterson | Physical Therapy Assistant | 1480 8th St, West Plains, MO 65775-2010 | 2012-12-20 |
| 1275832917 | Natalie Young | Physical Therapy Assistant | 1480 8th St, West Plains, MO 65775-2010 | 2011-03-21 |
| 1568593218 | Robyn Dell Massey | Speech-Language Pathologist | 1480 8th St, West Plains, MO 65775-2010 | 2007-03-07 |
| 1942311279 | Tally Jane Morris | Physical Therapist | 1480 8th St, West Plains, MO 65775-2010 | 2006-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598373359 | Ozarks Medical Center | Clinic/Center | Omc/zizzer Clinic, 1013 College Street, West Plains, MO 65775 | 2020-07-17 |
| 1962958678 | Fanny Ray | Massage Therapist | 1105 Independence Drive, West Plains, MO 65775 | 2016-09-01 |
| 1295184166 | Shaunda Faye Wolfe | Case Manager/Care Coordinator | 2301 K Hwy Apt. 2, West Plains, MO 65775 | 2016-06-10 |
| 1740694009 | Mary Loretta Rogganbuck | Counselor | 1211 Porter Wagoner #23, West Plains, MO 65775 | 2014-06-16 |
| 1548673858 | John Tollenaar | Physical Therapist | 1480 8th Streeet, West Plains, MO 65775 | 2014-06-04 |
| 1861818080 | Raymond Eugene Richardson | Case Manager/Care Coordinator | 1015 Lanton Road, West Plains, MO 65775 | 2014-03-12 |
| 1710309083 | Jared M Sadowitz | Physical Therapist | 1100 Kentucly Ave, West Plains, MO 65775 | 2014-01-06 |
| 1346682184 | Mark L. Dake Dds, Msd and David Sander Dmd, Mds | Dentist | 181 N. Kentucky, Suite 300, West Plains, MO 65775 | 2013-07-22 |
| 1427307024 | Anita M. Nelson | Behavioral Analyst | 8388 Pr 2731, West Plains, MO 65775 | 2012-08-29 |
| 1780959684 | Ozarks Medical Center | Pharmacy | 18 Parkway Center, West Plains, MO 65775 | 2012-03-12 |
| Find all providers in zip 65775 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497713127 | Vincent Lee Beam | Specialist/Technologist | 1480 W 8th St, West Plains, MO 65775-2010 | 2006-05-02 |
| 1588675904 | Christopher Scott Green | Specialist/Technologist | 1480 8th St, West Plains, MO 65775-2010 | 2006-08-10 |
| 1427068337 | James Allen Taylor | Specialist/Technologist | 1480 8th St, West Plains, MO 65775-2010 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051516 | Kangjun Lee | Specialist/Technologist | 901 S. National Ave., Springfield, MO 65897 | 2020-10-20 |
| 1114525631 | Kaylen A Howard | Specialist/Technologist | No, No, MO 63119 | 2020-10-16 |
| 1548868334 | Alexander Kenneth Hollingsworth | Specialist/Technologist | 1904 Franklin Ave, Lexington, MO 64067-1705 | 2020-10-13 |
| 1164020335 | Taylor Fumagalli | Specialist/Technologist | 1421 Woodstone Dr, Saint Charles, MO 63304-6866 | 2020-10-11 |
| 1265039192 | Carley M Swabby | Specialist/Technologist | 652 Bismark Ave, Saint Louis, MO 63119-1528 | 2020-10-05 |
| 1275144891 | Tiffany Hallacy | Specialist/Technologist | 5014 Walnut St Apt D, Kansas City, MO 64112-2641 | 2020-08-17 |
| 1306464011 | Dustin Flynn | Specialist/Technologist | 541 Huntley Heights Dr, Ballwin, MO 63021-5884 | 2020-07-09 |
| 1851916878 | Olivia Marie Bogolin | Specialist/Technologist | 111 Timber Trace Xing, Wentzville, MO 63385-2124 | 2020-06-15 |
| 1417571464 | Jessica Burgason | Specialist/Technologist | 24173 State Highway F, Kirksville, MO 63501-8009 | 2020-06-05 |
| 1225651664 | Ashley Marie Garlock | Specialist/Technologist | 1308 S Halliburton St, Kirksville, MO 63501-4456 | 2020-05-20 |
| Find all providers with the same taxonomy | ||||
| City | WEST PLAINS |
| Zip Code | 65775 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.