TARA B. HENDERSON


Address: 61 Whitcher St Ne, Suite 1150, Marietta, GA 30060-1176
Phone: 6785944250

TARA B. HENDERSON (NPI# 1396712949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396712949
Entity Type Individual
Full Name TARA B. HENDERSON
Other Name TARA M. BUCH
Credential PT
Practice Address 61 Whitcher St Ne
Suite 1150
Marietta
GA 30060-1176
Practice Telephone 6785944250
Practice Fax Number 7704232166
Mailing Telephone 6785944250
Mailing Fax Number 7704232166
Enumeration Date 2006-03-02
Last Update Date 2012-01-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2251X0800X Physical Therapist
Specialization: Orthopedic
PT008617 GA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers TARA HENDERSON

NPI Name Taxonomy Address Enumeration
1245873751 Tara Christine Henderson Occupational Therapist 1215 Wildewood Downs Circle, Columbia, SC 29223 2019-10-28
1548789688 Tara Ann Henderson Nurse Practitioner 1575 N Santa Fe Ave, Edmond, OK 73003-3638 2017-09-10
1386794329 Tara Henderson Pediatrics 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 2007-01-11

Office Location

Street Address 61 WHITCHER ST NE
SUITE 1150
City MARIETTA
State GA
Zip Code 30060-1176

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124014568 Richard W Cohen Orthopaedic Surgery 61 Whitcher St Ne, Suite 1100, Marietta, GA 30060-1176 2005-09-21
1376050955 Gina M Soto Nurse Practitioner 61 Whitcher St Ne, Marietta, GA 30060-1176 2018-01-04
1477062594 Anna Swanson Bouchard Nurse Practitioner 61 Whitcher St Ne, Marietta, GA 30060-1176 2017-09-20
1396281200 Trevor J Wallace Physician Assistant 61 Whitcher St Ne, Suite 1100, Marietta, GA 30060-1176 2017-01-17
1720537327 Taylor Dellinger Nurse Practitioner 61 Whitcher St Ne, Suite 3110, Marietta, GA 30060-1176 2016-09-25
1164871117 Georgiana Massad Physician Assistant 61 Whitcher St Ne, Suite 2100, Marietta, GA 30060-1176 2016-06-10
1134593809 Sarah Applegarth Physician Assistant 61 Whitcher St Ne, Suite 2100, Marietta, GA 30060-1176 2015-11-18
1336543529 Wellstar Medical Group, LLC Internal Medicine 61 Whitcher St Ne, Suite 4100b, Marietta, GA 30060-1181 2014-10-16
1346660198 Catherine Chmiel Nurse Practitioner 61 Whitcher St Ne, Suite 4100, Marietta, GA 30060-1176 2014-04-20
1467885863 Wellstar Medical Group, LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) 61 Whitcher St Ne, Suite 4100, Marietta, GA 30060-1176 2013-08-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144845116 Legacy Center for Spinal Surgery, LLC Neurological Surgery 1900 The Exchange, Ne, Suite 600, Marietta, GA 30060 2020-06-15
1407477193 Michael Cynil Daniel Counselor 698 N Marietta, Pkwy, Marietta, GA 30060 2020-05-04
1285253401 Cameron Thomas Kennelly Student in an Organized Health Care Education/Training Program 677 Church Street Ne Attn:gme, Marietta, GA 30060 2020-04-09
1922640739 Jeremiah George Blair Physician Assistant 61 Whitcher St Suite 2100, Marietta, GA 30060 2019-10-14
1164064945 Denise Alicia Mick Registered Nurse 677 Church St Wellstar Kennestone Hospital, Marietta, GA 30060 2019-10-12
1184283772 Iora Health Georgia, P.C. Internal Medicine 280 Cobb Pkwy Se, Suite 60, Marietta, GA 30060 2019-06-07
1346703212 Caitlin Virginia Mueller Student in an Organized Health Care Education/Training Program 677 Church Street Ne, Attn: Gme, Marietta, GA 30060 2019-04-08
1184187205 Adero Francis Student in an Organized Health Care Education/Training Program Wellstar Kennestone Gme Internal Medicine Clinic, 833 Campbell Hill St Nw, Suite 250, Marietta, GA 30060 2019-04-08
1659832749 Matthew Mozzo Student in an Organized Health Care Education/Training Program 677 Church Street / Lower Level, Gme Department / I.m., Marietta, GA 30060 2019-03-29
1245797430 La'myia Spentz Specialist 109 Anderson St Ne, Suite 608, Marietta, GA 30060 2019-02-25
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Taxonomy Information

Taxonomy Code 2251X0800X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapist
Specialization Orthopedic

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235515784 Theodore Phillip Ziaylek Jr. Physical Therapist 1401 Johnson Ferry Rd Ste 340, Marietta, GA 30062-6495 2015-08-07
1073656526 Nikki Lynn Coyne Physical Therapist 1015 Laurel Valley Dr Sw, Marietta, GA 30064-3973 2007-02-15
1235449612 Sidney Lamb Cambardella Physical Therapist 1000 Johnson Ferry Rd, Suite A-12, Marietta, GA 30068-2114 2010-10-19
1790096097 Jessica Neff Grussemeyer Physical Therapist 670 North Ave Nw, Suite 201, Marietta, GA 30060-1100 2010-07-01
1467780346 Ann Marie Lowers Physical Therapist 401 Matthew St, Suite 210, Marietta, OH 45750-1635 2009-12-03
1366609133 Kimberly B Lassiter Physical Therapist 300 Tower Rd Ne, Suite 100, Marietta, GA 30060-9404 2008-05-20
1194925669 Jeremy H Campbell Physical Therapist 300 Tower Rd Ne, Suite 100, Marietta, GA 30060-9404 2007-07-23
1790714434 Lauren Elise Connolly Physical Therapist 300 Tower Rd Ne, Suite 100, Marietta, GA 30060-9404 2006-07-03
1295762557 Avra Lenore Souval Physical Therapist 300 Tower Rd Ne, Suite 100, Marietta, GA 30060-9404 2006-06-26
1467416107 Alison B. Munroe Physical Therapist 2550 Windy Hill Rd Se, Suite 317, Marietta, GA 30067-8665 2006-04-12
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Competitor

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City MARIETTA
Zip Code 30060

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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