Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tara Basile

Individual provider Physical Therapist · NPI 1851940449

Tara Basile is a Physical Therapist in Private Practice in Lawrenceville, Georgia. Qualified in 2019, 7 years ago. Practices with Pro Sport Physical Therapy, LLC, an 11-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
7
Licensed in
GA
In the registry since
2019
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Practice location Address checks out

4825 Sugarloaf Pkwy Ste C
Lawrenceville, GA 30044-8800
Phone: (678) 985-0238
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT014320 (GA)

Record details

NPI number1851940449
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 6, 2019
Last updated in NPPESSeptember 6, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Pro Sport Physical Therapy, Llc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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