MRS. TARA RENE DULL (PT) – Physical Therapist, NPI 1104016385

MRS. TARA RENE DULL (PT) is a healthcare provider. based in Waunakee, Wisconsin. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 9548024 (WI). The NPI Number for MRS. TARA RENE DULL (PT) is 1104016385

Main info

Female
Sole Proprietor
26 Years Of Experience
Accepts Medicare Assignment
Name
MRS. TARA RENE DULL (PT)
NPI
1104016385
Phone
(608) 849-5881
Address
626 N MEADOWBROOK LN
Enumeration Date
25 July 2007
Last Update Date
25 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6084419990
Graduation Year
2000 (26 years ago)
PAC ID
3870714082
Group Practice PAC ID
1850497736
Professional Enrollment ID
I20141031000040
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

1,991 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WI

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Provider Addresses for MRS. TARA RENE DULL (PT)

  • 626, North Meadowbrook Lane, Meadowbrook At Pleasant Valley, Waunakee, Dane County, Wisconsin, 53597, United States

    WAUNAKEE, WI 535972830

    Phone: (608) 849-5881

    Mailing address matches the actual address.

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: 2014-10-31

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
I20141031000040IPhysical Therapist In Private PracticeWITBD

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
97530Therapy procedure using functional activities97765$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes83074$0
97116Therapy procedure for walking training, each 15 minutes82470$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes32257$0
97162Evaluation for physical therapy, typically 30 minutes5452$0
View full utilization report →

Insurance plans in this area (ZIP 53597)

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Provider's Procedures

MRS. TARA RENE DULL (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 THERAPYWI97001Physical therapy evaluation6862

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: 1850497736View full group profile

Reviews

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Frequently asked questions

Does MRS. TARA RENE DULL (PT) have a public NPI I can cite?
Public records show MRS. TARA RENE DULL (PT) under NPI 1104016385.
Is MRS. TARA RENE DULL (PT) currently accepting referrals based on NPI status?
Registry metadata lists MRS. TARA RENE DULL (PT) as active.
Which specialty label fits MRS. TARA RENE DULL (PT)?
NPPES ties MRS. TARA RENE DULL (PT) to Physical Therapist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to MRS. TARA RENE DULL (PT)?
MRS. TARA RENE DULL (PT) shows a connection to Waunakee, Wisconsin in registry-derived data.
Who maintains MRS. TARA RENE DULL (PT)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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