NPI age
19 years
Enumerated 2006-11-09
● Active
Type 1 · Individual
Tina Marie Black
Black is 1 of 8 occupational therapist providers in Gainesville and 1 of 516 in Georgia.
Primary specialty
Occupational Therapist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-09
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 516 active occupational therapist providers in Georgia.
NPI age
19 years
↑ 7 yr above median (12 yr)
State licenses
1 state
3% of peers hold multiple states
Subspecialties
0
19% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-11Enumerated in NPPES
2006
2026
Where they practice
Practice location
4502 Summer Gate Ct
Gainesville, GA 305064677
Mailing address
4502 Summer Gate Ct
Gainesville, GA 305064677
Specialties
-
Occupational Therapist PrimaryOccupational 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 307327 | WELLCARE |
| 01 (GA) | 10038361 | AMERIGROUP |
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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