MS. TAMARA MAY DERSHAM PT
NPI 1396053302
Physical Therapist in Huntersville, NC

Active since September 24, 2010Accepts Medicare Assignment
95.35/100
CMS Quality Rating
10315 HAMPTONS PARK DR, HUNTERSVILLE, NC 28078(704) 323-2809 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 10, 2022, Feb 8, 2021, Apr 12, 2017 and 1 more (4 updates tracked since 2015).

About Ms. Tamara May Dersham Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. TAMARA MAY DERSHAM PT (NPI 1396053302) is an individual physical therapist in Huntersville, North Carolina, licensed in North Carolina (P17014) and active in the NPI registry since September 2010. She is a graduate of Other (2010).

NPPES Registry Identity

NPI1396053302
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameMS. TAMARA MAY DERSHAMCredential: PT
Location Address10315 HAMPTONS PARK DRHuntersville, NC 28078-7217
Mailing Address13739 Bonnerby CtHuntersville, NC 28078-4261 · (704) 798-6447
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateSeptember 24, 2010
Last NPPES UpdateOctober 21, 20254 updates tracked since enumeration
NPPES CertifiedOctober 21, 2025
NPI 1396053302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in NC · P17014
Definition

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:<ul><li>Diagnose and manage movement dysfunction and enhance physical and functional abilities.</li><li>Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.</li><li>Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.</li><li>Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.</li><li>Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.</li></ul>PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

10315 HAMPTONS PARK DR, Huntersville, NC 28078

Other Identifiers 1

Medicaid1396053302NC

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Tamara May Dersham Pt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002003514
PECOS Enrollment IDI20170522000859

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
502 services47 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
283 services41 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
97 services15 patients
Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
80 services18 patients
Evaluation for physical therapy, typically 30 minutes 97162
An evaluation for physical therapy is a 30-minute session where a physical therapist assesses your current physical condition. They'll examine your strength, flexibility, balance, and mobility to identify areas needing improvement. This helps tailor a therapy plan to your specific needs.
37 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28078 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
10315 HAMPTONS PARK DR
HUNTERSVILLE, NC 28078
Physical Therapy Assistant
10315 HAMPTONS PARK DR
HUNTERSVILLE, NC 28078
Orthopaedic Surgery
10315 HAMPTONS PARK DR
HUNTERSVILLE, NC 28078
Orthopaedic Surgery
10315 HAMPTONS PARK DR
HUNTERSVILLE, NC 28078
Physical Therapy Assistant
10315 HAMPTONS PARK DR
HUNTERSVILLE, NC 28078
Physical Therapist
10315 HAMPTONS PARK DR
HUNTERSVILLE, NC 28078
Physical Medicine & Rehabilitation (Pain Medicine)
10315 HAMPTONS PARK DR
HUNTERSVILLE, NC 28078
Physical Therapist
10315 HAMPTONS PARK DR
HUNTERSVILLE, NC 28078

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tamara Dersham's NPI number?

The NPI number for Tamara Dersham is 1396053302. It was assigned to this individual provider in the NPPES registry on September 24, 2010.

Where is Tamara Dersham located?

Tamara Dersham practices at 10315 Hamptons Park Dr, Huntersville, NC 28078. The listed phone number is (704) 323-2809.

What is Tamara Dersham's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Tamara Dersham enrolled in Medicare?

Yes. Tamara Dersham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Tamara Dersham accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina and Blue Cross and Blue Shield of NC list Tamara Dersham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tamara Dersham was last updated on October 21, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.