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
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4825 Sugarloaf Pkwy Ste C
Lawrenceville, GA 30044-8800
Phone: (678) 985-0238
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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
Mailing address1200 Corporate Dr Ste 400, Birmingham, AL 35242-5424

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

Other providers in Lawrenceville