Individual
TARA LYNN GAUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
11286 BOYETTE RD, RIVERVIEW, FL 33569-8021
(813) 978-9700
(813) 558-6185
Mailing address
5901 E FOWLER AVE STE 100, TEMPLE TERRACE, FL 33617-2305
(813) 987-9700
(813) 558-6187
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT20406
FL
2251X0800X
Orthopedic Physical Therapist
Primary
PT20406
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00398438
RAILROAD MEDICARE
FL
01
—
Y028LZ
MEDICARE
FL
Enumeration date
04/25/2006
Last updated
04/03/2026
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