TARA PETTENGILL (NPI# 1548319049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548319049 |
| Entity Type | Individual |
| Full Name | TARA PETTENGILL |
| Practice Address |
140 S Gilbert Rd Gilbert AZ 85296-1016 |
| Mailing Address |
697 E Cullumber St Gilbert AZ 85234-6408 |
| Practice Telephone | 4805585131 |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
7428 | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
140 S GILBERT RD |
| City | GILBERT |
| State | AZ |
| Zip Code | 85296-1016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568535045 | Patricia Kelly | Speech-Language Pathologist | 140 S Gilbert Rd, Gilbert, AZ 85296-1016 | 2006-11-15 |
| 1073129151 | Brittany Ralene Carrie | Occupational Therapist | 140 S Gilbert Rd, Gilbert, AZ 85296-1016 | 2020-09-23 |
| 1821630237 | Kaila Vezie | Speech-Language Pathologist | 140 S Gilbert Rd, Gilbert, AZ 85296-1016 | 2019-10-17 |
| 1033767660 | Cherrie Tahamane Floyd | Registered Nurse | 140 S Gilbert Rd, Gilbert, AZ 85296-1016 | 2019-08-27 |
| 1295389260 | Rebecca Ann Pukpumin | Speech-Language Pathologist | 140 S Gilbert Rd, Gilbert, AZ 85296-1016 | 2019-07-29 |
| 1710530266 | Danielle Mckenzie Smith | Speech-Language Pathologist | 140 S Gilbert Rd, Gilbert, AZ 85296-1016 | 2019-07-23 |
| 1598318099 | Addison Hofmann | Speech-Language Pathologist | 140 S Gilbert Rd, Gilbert, AZ 85296-1016 | 2019-07-23 |
| 1407356611 | Claudette Rael | Registered Nurse | 140 S Gilbert Rd, Gilbert, AZ 85296-1016 | 2018-02-14 |
| 1447792403 | Lauren Krasner | Specialist/Technologist | 140 S Gilbert Rd, Gilbert, AZ 85296-1016 | 2016-11-08 |
| 1154875227 | Rachel Soule | Speech-Language Pathologist | 140 S Gilbert Rd, Gilbert, AZ 85296-1016 | 2016-08-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124625793 | Gilbert Crossroads Kids' Dentists and Orthodontics, LLP | Dentist | 835 S. Gilbert Rd, Suite 104, Gilbert, AZ 85296 | 2020-10-06 |
| 1306455969 | Calm Care Living | Community/Behavioral Health | 1525 S Higley Rd, #104-6769, Gilbert, AZ 85296 | 2020-07-29 |
| 1366080970 | Hannah Golladay | Behavior Technician | 1166 S Gilbert Road, Suite 106, Mesa, AZ 85296 | 2019-12-13 |
| 1194284729 | Kege Health, LLC | Nurse Practitioner | 1206 E Warner Rd Ste 101f, Gilbert, AZ 85296 | 2019-03-13 |
| 1841757762 | Windhorse Counseling | Counselor | 1166 E Warner Road, Suite 203, Gilbert, AZ 85296 | 2019-02-27 |
| 1417424284 | Ashton N Wright | Behavior Technician | 1166 E Gilbert Rd, #106, Gilbert, AZ 85296 | 2018-10-30 |
| 1346717246 | Robison Orthodontics LLC | Dentist | 1355 S Higley Rd # 105, Gilbert, AZ 85296 | 2018-10-29 |
| 1518441831 | Kara Lyn Holyoak | Physician Assistant | 1359 S. Porter St., Gilbert, AZ 85296 | 2018-09-21 |
| 1225519119 | Jennifer Anne Goodman | Specialist/Technologist | 70 S Val Vista Dr A3, Gilbert, AZ 85296 | 2018-08-28 |
| 1437642329 | Greta Shumway | Counselor | 690 E. Warner Road, #115, Gilbert, AZ 85296 | 2018-06-14 |
| Find all providers in zip 85296 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821640657 | Eneida Oswalt | Physical Therapist | 1633 E Lakeside Dr Unit 133, Gilbert, AZ 85234-4971 | 2019-07-11 |
| 1457805954 | Westergard Physical Therapy, Pllc | Physical Therapist | 1349 S Pheasant Dr, Gilbert, AZ 85296-9699 | 2016-08-12 |
| 1558675918 | Sunny Days Pediatric Therapy | Physical Therapist | 870 E Lodgepole Ct, Gilbert, AZ 85298-7311 | 2010-07-27 |
| 1790973386 | Michelle Lynn Wright | Physical Therapist | 1447 E Indigo St, Gilbert, AZ 85298-6808 | 2007-10-09 |
| 1992825830 | Arizona Services for Developmental Therapy Inc | Physical Therapist | 2101 E Page Ave, Gilbert, AZ 85234-6212 | 2007-03-31 |
| 1396891701 | Tara Villarreal | Physical Therapist | 1855 E Los Alamos St, Gilbert, AZ 85296-5155 | 2007-01-26 |
| 1447604731 | The Therapy Grove LLC | Physical Therapist | 3712 E Latham Ct, Gilbert, AZ 85297-3017 | 2016-04-22 |
| 1609237635 | Desert Dolphin Aquatic Therapy & Rehab | Physical Therapist | 1903 S Cole Dr, Gilbert, AZ 85295 | 2016-03-18 |
| 1407289572 | Abbey Betlach | Physical Therapist | 3341 E Queen Creek Rd, #109, Gilbert, AZ 85297-8503 | 2013-08-13 |
| 1609153386 | Kayla Marie Earhart | Physical Therapist | 3341 E Queen Creek Rd, Suite 109, Gilbert, AZ 85297-8503 | 2011-11-09 |
| Find all providers in GILBERT | ||||
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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.