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

Tara Kazemfar, PT

Individual provider Physical Therapist · NPI 1356996391

Tara Kazemfar, PT is a Physical Therapist in Private Practice in Lewiston, Idaho. Qualified in 2017, 9 years ago. Accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
9
Licensed in
ID
In the registry since
2019
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

621 Main St Ste A
Lewiston, ID 83501-1871
Phone: (509) 769-7551
Fax: (509) 254-5018
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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 PT-5290 (ID)

Record details

NPI number1356996391
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 6, 2019
Last updated in NPPESDecember 11, 2023
Certification dateDecember 11, 2023
Mailing address621 Main St Ste A, Lewiston, ID 83501-1871

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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