Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Tara Rene Dull, PT

Individual provider Physical Therapist · NPI 1104016385

Mrs. Tara Rene Dull, PT is a Physical Therapist in Private Practice in Waunakee, Wisconsin. Qualified in 2000, 26 years ago. Practices with Fox Rehabilitation Services Wi LLC, a 143-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
26
Licensed in
WI
In the registry since
2007
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

626 N Meadowbrook Ln
Waunakee, WI 53597-2830
Phone: (608) 849-5881
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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 9548024 (WI)

Record details

NPI number1104016385
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorYes
NPI enumeratedJuly 25, 2007
Last updated in NPPESJuly 25, 2007

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Fox Rehabilitation Services Wi Llc — 143 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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