Doctor profile · Federal record

Dr. Tamara Dersham, PT

Physical Therapist (CMS: Physical Therapist in Private Practice) · Huntersville, NC

  • NPI 1396053302
  • Accepts Medicare
  • MIPS 92.1 / 100 · 2023
  • 16 yrs in practice
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
10315 Hamptons Park Dr
Huntersville, NC 280787217
(704) 323-2809
Mailing address
13739 Bonnerby CT
Huntersville, NC 280784261

Credentials & registration

NPPES · NUCC
NPI registered
September 2010 — 16 yrs on file
Profile last updated
October 21, 2025
Year of graduation
2010 — 16 yrs since
Specialty taxonomy
225100000X — NUCC code
State license (1)
North Carolina #P17014
Medicaid
NC #1396053302

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1396053302. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
2,193
Distinct HCPCS
5
Medicare allowed
$55,358
HCPCS Description Services Patients Avg allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 1,071 100 $21
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 565 91 $27
97530 Therapy procedure using functional activities 280 47 $32
97140 Therapy procedure using manual technique, each 15 minutes 228 40 $19
97162 Evaluation for physical therapy, typically 30 minutes 49 47 $97

In context: peer comparison

Among 15 peers in Huntersville Physical Therapist, average services per provider: 231. This provider delivers 9.5× the peer median.

Frequently asked questions

Auto-generated from federal data
What is Dr. Tamara Dersham's medical specialty?
Dr. Tamara Dersham practices Physical Therapist in Huntersville, NC.
Where does Dr. Tamara Dersham practice?
Dr. Tamara Dersham practices at 10315 Hamptons Park Dr, Huntersville, NC 280787217. Office phone: 7043232809.
What is Dr. Tamara Dersham's NPI?
Dr. Tamara Dersham's National Provider Identifier (NPI) is 1396053302, issued by NPPES.
Does Dr. Tamara Dersham accept Medicare assignment?
Yes. Dr. Tamara Dersham accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Tamara Dersham commonly perform?
Top Medicare-reported procedures in 2023: Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility (HCPCS 97110); Therapy procedure to re-educate brain-to-nerve-to-muscle function (HCPCS 97112); Therapy procedure using functional activities (HCPCS 97530). Source: CMS Medicare Physician & Other Practitioners file.