TARA E BAGNE (NPI# 1700136868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700136868 |
| Entity Type | Individual |
| Full Name | TARA E BAGNE |
| Credential | DPT |
| Practice Address |
742 Sterbenz Dr Hudson WI 54016-8327 |
| Mailing Address |
8077 155th Ln Nw Ramsey MN 55303-3888 |
| Practice Telephone | 7153862128 |
| Mailing Telephone | 7158210684 |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2019-11-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
5501015984 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
742 STERBENZ DR |
| City | HUDSON |
| State | WI |
| Zip Code | 54016-8327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780781104 | Rebecca Joanne Pratts | Physical Therapist | 742 Sterbenz Dr, Hudson, WI 54016-8327 | 2006-09-20 |
| 1053912063 | Caroline Mccleary | Occupational Therapist | 742 Sterbenz Dr, Hudson, WI 54016-8327 | 2020-11-05 |
| 1700412434 | Jordin Melchert | Occupational Therapist | 742 Sterbenz Dr, Hudson, WI 54016-8327 | 2020-03-13 |
| 1326682691 | Alyssa Churchill Jameson | Occupational Therapist | 742 Sterbenz Dr, Hudson, WI 54016-8327 | 2019-10-30 |
| 1033766472 | Jessica Lee Boettger | Physical Therapist | 742 Sterbenz Dr, Hudson, WI 54016-8327 | 2019-08-21 |
| 1003474891 | Brooke Catherine John | Speech-Language Pathologist | 742 Sterbenz Dr, Hudson, WI 54016-8327 | 2019-06-05 |
| 1154815777 | Melissa Anne Otto | Physical Therapist | 742 Sterbenz Dr, Hudson, WI 54016-8327 | 2018-06-18 |
| 1043712201 | Jean Linda Henze | Occupational Therapist | 742 Sterbenz Dr, Hudson, WI 54016-8327 | 2018-03-05 |
| 1154846038 | Linda Michelle Warner | Speech-Language Pathologist | 742 Sterbenz Dr, Hudson, WI 54016 | 2017-08-11 |
| 1689102790 | Hudson Hospital, Inc. | Clinic/Center | 742 Sterbenz Dr, Hudson, WI 54016-8327 | 2017-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164921128 | Sara Lynn Henry | Occupational Therapy Assistant | 1320 Wisconsin St., Husdon, WI 54016 | 2018-02-06 |
| 1689003436 | Serving Hands Inc | Home Health | 1419 Boulder Court, Hudson, WI 54016 | 2013-11-02 |
| 1275973042 | Lisa Renee Haverly | Occupational Therapist | 477 Perch Lake Rd, Hudson, WI 54016 | 2013-06-26 |
| 1710320213 | Emily Ann Stevenson | Counselor | 901 4th St Ste 165, Hudson, WI 54016 | 2013-04-15 |
| 1083972954 | The Shurden Group | In Home Supportive Care | 2424 Monetary Blvd. #012, The Shurden Group Dba Comfort Keepers, Hudson, WI 54016 | 2012-04-30 |
| 1124305933 | Robert Michael Catlow-price | Massage Therapist | 131 Carmichael Road, Suite #202, Hudson, WI 54016 | 2011-11-08 |
| 1962780221 | Qin Chu | Acupuncturist | 1615 Maxwell Dr., Suite D, Hudson, WI 54016 | 2011-08-03 |
| 1124324231 | Hung Trieu Lieu | Acupuncturist | 1810 Crest View Dr Ste 4a, Hudson, WI 54016 | 2011-02-07 |
| 1912214966 | Sumac Residential LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 723 B Blue Jay Lane, Hudson, WI 54016 | 2010-09-10 |
| 1740593201 | Michelle Marie Young | Counselor | 2501 Hanley Road, Suite F, Eagle Valley Bank Building, Hudson, WI 54016 | 2010-07-26 |
| Find all providers in zip 54016 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992988034 | Cindy W Brush | Physical Therapist | 4 Wilkins St, Hudson, MA 01749-1802 | 2007-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013321124 | Victoria Ann Moerchen | Physical Therapist | 3409 N Downer Avenue, Uwm, Pavilion, Pt Suite, Rm 366, Milwaukee, WI 53211-2956 | 2014-06-17 |
| 1922368323 | Courtney Wilder | Physical Therapist | 1100 Commerce Drive Suite 114, Racine, WI 53406 | 2012-05-21 |
| 1467763508 | Douglas Litscher | Physical Therapist | 125 Monroe Ave, Rice Lake, WI 54868-3204 | 2010-06-23 |
| 1306163761 | Julie Collison | Physical Therapist | 1409 Swamp Rd, Green Bay, WI 54313-1475 | 2010-04-26 |
| 1447426929 | Developmental Steps By Fons | Physical Therapist | 4102 Foxwood Ct, Janesville, WI 53546-8887 | 2008-05-05 |
| 1821262700 | Patricia E Barina | Physical Therapist | 16185 Burleigh Pl, Brookfield, WI 53005-2851 | 2008-04-22 |
| 1114190618 | Nancy Ellen Reithel | Physical Therapist | 610 Westwood Drive, Onalaska, WI 54650 | 2008-04-07 |
| 1447421656 | Gail Ann May | Physical Therapist | 205 Lodi St, Lodi, WI 53555-1220 | 2008-03-14 |
| 1548450372 | Lori Dominiczak | Physical Therapist | 4002 W Cherrywood Ln, Brown Deer, WI 53209-1002 | 2007-07-27 |
| 1144410069 | Jill Marie Nelson | Physical Therapist | N10732 Newton Lake Rd, Athelstane, WI 54104-9629 | 2007-07-26 |
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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.