MRS. TARA BANKS FEDDERN (NPI# 1639693278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639693278 |
| Entity Type | Individual |
| Full Name | MRS. TARA BANKS FEDDERN |
| Other Name | TARA BANKS MALONE |
| Credential | OTR/L |
| Practice Address |
4319 South Lee Street Suite 300 Chandler Speech and Language Services, LLC Buford GA 30518 |
| Mailing Address |
6477 Mossy Boulder Dr Wonder Therapeutic Services, LLC Flowery Branch GA 30542 |
| Practice Telephone | 6782889770 |
| Practice Fax Number | 6782889774 |
| Mailing Telephone | 4044068272 |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2018-03-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
OT006793 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003194815A | 05 |
| Street Address |
4319 SOUTH LEE STREET SUITE 300 CHANDLER SPEECH AND LANGUAGE SERVICES, LLC |
| City | BUFORD |
| State | GA |
| Zip Code | 30518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942809090 | Lori G Fiore | Pharmacist | 6001 Highway 20, Sugar Hill, GA 30518 | 2020-10-20 |
| 1295374684 | Wickshire Buford Opco LLC | Assisted Living Facility | 4355 South Lee Street, Buford, GA 30518 | 2020-01-02 |
| 1689221749 | Family First Palliative Care LLC | Internal Medicine | 2299 Saint Kennedy Lane, Buford, GA 30518 | 2019-08-23 |
| 1013471010 | Kennison Pharmacy, LLC | Pharmacy | 4050 Buford Drive, Buford, GA 30518 | 2019-01-24 |
| 1972073534 | Heather Leigh Wilson | Technician, Pathology | 4271 South Lee Street Suite 101 & 102, Buford, GA 30518 | 2018-11-27 |
| 1629581228 | Taylor Family Counseling | Social Worker | 1400 Buford Hwy Ste G7, Sugar Hill, GA 30518 | 2017-11-06 |
| 1417476292 | North Georgia Anesthesia Associates, LLC | Nurse Anesthetist, Certified Registered | 860 Creekview Bluff Way, Buford, GA 30518 | 2017-09-13 |
| 1114457223 | Jeremy Likens | Specialist/Technologist, Other | 5885 Cumming Hwy Ste 108, #259, Sugar Hill, GA 30518 | 2017-06-13 |
| 1609224336 | Healthqwest Frontiers Inc | Clinic/Center | 4271 South Lee St., Suite 101 & 102, Buford, GA 30518 | 2016-06-03 |
| 1962887596 | Academy Orthopedics LLC | Orthopaedic Surgery | 3929 Carter Rd., Buford, GA 30518 | 2015-07-24 |
| Find all providers in zip 30518 | ||||
| Taxonomy Code | 225XP0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Pediatrics |
| Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or "occupations." Occupational therapists use their unique expertise to help children with social-emotional, physical, cognitive, communication, and adaptive behavioral challenges and to help children to be prepared for and perform important learning and school-related activities and to fulfill their rule as students. Through an understanding of the impact of disability, illness, and impairment on a child's development, plan, ability to learn new skills, and overall occupational performance, occupational therapists design interventions that promote healthy development, establish needed skills, and/or modify environments, all in support of participation in daily activities. |
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: new] Additional Resources: The American Occupational Therapy Association (AOTA) does offer voluntary board certification for a Pediatric Occupational Therapist if the applicant meets the following requirements:
|
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881186732 | Crisany Lauren Carroll | Occupational Therapist | 22 Buford Village Way, Buford, GA 30518-8846 | 2018-06-05 |
| 1033547880 | Jennifer Linington | Occupational Therapist | 22 Buford Village Way Ste 229, Buford, GA 30518-8846 | 2013-10-14 |
| 1053645366 | Lindsey Milner Willis | Occupational Therapist | 4992 Bristol Industrial Way, Buford, GA 30518-1742 | 2009-09-21 |
| 1871766782 | Dinah Welch | Occupational Therapist | 470 S. Hill St., Helping Hands Pediatric Therapy, Buford, GA 30518-3220 | 2008-04-11 |
| 1669663035 | Dianne Issen | Occupational Therapist | 4030 Inman Park Lane, Buford, GA 30519 | 2007-08-09 |
| 1376742874 | Julie D Randolph | Occupational Therapist | 2140 Buford Hwy Ste 208, Buford, GA 30518-6124 | 2007-07-13 |
| 1164981692 | Jenna Catherine Luther | Occupational Therapist | 22 Buford Village Way Ste 229, Buford, GA 30518-8846 | 2019-03-14 |
| 1225496284 | Peach State Pediatric Therapy | Occupational Therapist | 4992 Bristol Industrial Way, Buford, GA 30518-1742 | 2016-02-05 |
| 1598017204 | Angela Cher Michael Fisher | Occupational Therapist | 4992 Bristol Industrial Way, Buford, GA 30518-1742 | 2012-10-04 |
| 1831467562 | Damali Abenaa Whitfield | Occupational Therapist | 4992 Bristol Industrial Way, Buford, GA 30518-1742 | 2011-12-08 |
| Find all providers in BUFORD | ||||
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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.