TARA L MCISAAC


Address: 516 W 18th St, Tempe, AZ 85281-6521
Phone: 5202714376

TARA L MCISAAC (NPI# 1760618177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760618177
Entity Type Individual
Full Name TARA L MCISAAC
Credential P.T., PH.D.
Practice Address 516 W 18th St
Tempe
AZ 85281-6521
Practice Telephone 5202714376
Mailing Telephone 5202714376
Enumeration Date 2009-06-01
Last Update Date 2013-08-10
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2251N0400X Physical Therapist
Specialization: Neurology
028222-1 NY Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Y 2251N0400X Physical Therapist
Specialization: Neurology
2643 AZ Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 516 W 18TH ST
City TEMPE
State AZ
Zip Code 85281-6521

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Taxonomy Information

Taxonomy Code 2251N0400X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapist
Specialization Neurology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1194322412 Karla Marie Tuzzolino Physical Therapist 2225 W Southern Ave Ste B, Mesa, AZ 85202-4716 2020-10-08
1932743507 Haylie M Galloway Physical Therapist 3160 N Arizona Ave Ste 106, Chandler, AZ 85225-7122 2019-11-06
1801334941 Katie Flores Physical Therapist 1604 W St Mary's Rd, Tucson, AZ 85745 2017-02-09
1740622109 Jefferson Wayne Holm Physical Therapist 1447 W Elliot Rd # 1, Gilbert, AZ 85233-5166 2013-07-25
1982837100 Kathleen Grady Smith Physical Therapist 7539 E De La O Rd, Scottsdale, AZ 85255-2747 2009-09-04
1205921202 Foothills Sports Medicine & Rehabilitation- Tucson, Inc Physical Therapist 7575 W. Twin Peaks Rd, Suite 155, Tucson, AZ 85743 2006-10-04
1336187715 Neuro Aquatic Rehabilitation Center Physical Therapist 2919 E Grant Rd, Tucson, AZ 85716-2717 2006-06-04
1750350773 Nanette Parfitt Burnett Physical Therapist 3896 E Marshall Gulch Pl, Tucson, AZ 85718-2337 2006-03-14
1235778101 Jason M Callaman Physical Therapist 1190 E Missouri Ave Ste 100, Phoenix, AZ 85014-2719 2019-12-24
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Competitor

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City TEMPE
Zip Code 85281

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Dataset Information

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.

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