Tara Ann Tibbe in Portage - Occupational Therapist
Tara Ann Tibbe - NPI 1114191939
Tara Ann Tibbe is a Occupational Therapist in Portage, Wisconsin. Tara Ann Tibbe practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Tara Ann Tibbe is 1114191939. The last update date is 2008-04-14.
Tara Ann Tibbe's current location address is 2817 New Pinery Rd, Portage, Wisconsin. You can contact this provider via phone number 6087456290. The mailing address for Tara Ann Tibbe is 2817 New Pinery Rd, Portage, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tara Ann Tibbe |
|---|---|
| Address | 2817 New Pinery Rd, Portage, Wisconsin |
| Phone Number | 6087456290 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | OTR |
NPI Number Detail
| NPI Number | 1114191939 |
|---|---|
| Provider Enumeration Date | 2008-04-14 |
| Last Updated Date | 2008-04-14 |
Provider Mailing Address Detail
| Address | 2817 New Pinery Rd |
|---|---|
| City | Portage |
| State | Wisconsin (WI) |
| Post Code | 539019257 |
| Phone Number | 6087456290 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | 3123-026 |
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Definition: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federat |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 40828300 | WI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Tara Ann Tibbe?
The Tara Ann Tibbe has been issued the NPI (National Provider Identifier) 1114191939 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Tara Ann Tibbe is physically located?
The Tara Ann Tibbe is situated at the following address: 2817 New Pinery Rd, Portage, WI 539019257.
What is Tara Ann Tibbe's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Tara Ann Tibbe is Occupational Therapist, and the corresponding taxonomy classification code for this specialized field is 225X00000X.
On what date did Tara Ann Tibbe receive its 1114191939 assignment from the Centers for Medicare & Medicaid Services?
The Tara Ann Tibbe was assigned its 1114191939 on 2008-04-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Tara Ann Tibbe most recently updated or revised?
The information pertaining to Tara Ann Tibbe, including its address, specialty, and other relevant details, was last updated or revised on 2008-04-14.