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).
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 |
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 |
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 |
Street Address |
61 WHITCHER ST NE SUITE 1150 |
City | MARIETTA |
State | GA |
Zip Code | 30060-1176 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 30060 |
Taxonomy Code | 2251X0800X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Orthopedic |
Definition to come... |
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 |
Find all providers in MARIETTA |
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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.