P Praxis·MD
● Active Type 1 · Individual

MRS. Tara Banks Feddern, OTR/L

Occupational Therapist·Buford, GA· NPI 1639693278 · Enumerated 2017 · 8 years on NPI
Feddern is 1 of 23 occupational therapist providers in Buford and 1 of 516 in Georgia.
NPI age
8 years
Enumerated 2017-07-26
Primary specialty
Occupational Therapist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2018-03-12
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 516 active occupational therapist providers in Georgia.

NPI age
8 years
↓ 4 yr below median (12 yr)
State licenses
1 state
3% of peers hold multiple states
Subspecialties
0
19% of peers hold subspecialties

NPI lifetime · 2017 → 2026

2017-07Enumerated in NPPES
2017 2026

Where they practice

Practice location
4319 South Lee Street Suite 300, Chandler Speech And Language Services, Llc
Buford, GA 30518
📞 6782889770fax 6782889774
Mailing address
6477 Mossy Boulder Dr, Wonder Therapeutic Services, Llc
Flowery Branch, GA 30542
📞 4044068272

Specialties

  • Occupational Therapist Primary
    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...
    GA license #OT006793 taxonomy 225XP0200X

Identifiers

TypeValueNotes
05 (GA) 003194815A

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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