TARA DONNELLY (PT) – Physical Therapist, NPI 1215217666

TARA DONNELLY (PT) is a healthcare provider. based in Southington, Connecticut. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 007482 (CT). The NPI Number for TARA DONNELLY (PT) is 1215217666

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
TARA DONNELLY (PT)
NPI
1215217666
Phone
(203) 578-0409
Address
96 SILVER OAK CIR
Enumeration Date
17 August 2011
Last Update Date
17 August 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2034414261
Graduation Year
2004 (22 years ago)
PAC ID
0244401156
Group Practice PAC ID
7315020005
Professional Enrollment ID
I20110927000052
Address ID
CT067162613WO465XXRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

1,335 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CT

Provider Addresses for TARA DONNELLY (PT)

  • 96 SILVER OAK CIR

    SOUTHINGTON, CT 064894665

    Phone: (203) 578-0409

    Type: Mailing

  • 465 WOLCOTT RD

    ADVANCED PHYSICAL THERAPY

    WOLCOTT, CT 067162613

    Phone: (203) 897-0107

    Fax: (203) 879-0206

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-09-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110927000052IPhysical Therapist In Private PracticeCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes13821$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes13120$0
97140Therapy procedure using manual technique, each 15 minutes11318$0
97530Therapy procedure using functional activities4011$0
97161Evaluation for physical therapy, typically 20 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 06489)

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Provider's Procedures

TARA DONNELLY (PT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYCT97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes7414

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7315020005View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeCT
-CT
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeCT
-CT
Physical Therapist In Private PracticeCT

Reviews

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Frequently asked questions

How do I look up TARA DONNELLY (PT) by NPI?
Use NPI 1215217666 when you need to reference TARA DONNELLY (PT) in forms, claims, or directories.
Is TARA DONNELLY (PT)'s NPI currently valid?
The extract we use shows TARA DONNELLY (PT) as active.
What kind of provider is TARA DONNELLY (PT)?
The page reflects Physical Therapist for TARA DONNELLY (PT). Clinical services aligned with this taxonomy classification.
Does TARA DONNELLY (PT) practice in Connecticut?
You will see Southington, Connecticut on file for TARA DONNELLY (PT) alongside any extra practice locations.
Is TARA DONNELLY (PT) a real provider?
This page reflects official NPPES data for NPI 1215217666. Always confirm identity and privileges with the practice and licensing boards.

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