Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TARA ANN FEDEWA, OTR/L
Deactivated Sole ProprietorTARA ANN FEDEWA, OTR/L is a Occupational Therapist healthcare provider located in EAST LANSING, Michigan. NPI 1861006728 is deactivated in the NPPES registry. Verify at CMS.
Occupational Therapist · EAST LANSING, MI
This NPI has been deactivated.
The record was deactivated on July 19, 2021.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1861006728
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 8, 2020 (0.86027397260274 yrs)
- Last Updated
- Nov 12, 2024
- Deactivated
- Jul 19, 2021
- License
-
5201013965 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4660 S HAGADORN RD STE 400EAST LANSING, MI, 488235353Browse MI providers · Browse ZIP 48823
- Phone
- 5173557648
- Fax
- 5174321319
- Primary Specialty
-
Occupational Therapist
225X00000X
Other Occupational Therapist Providers in EAST LANSING, MI
| Name | Credential | NPI |
|---|---|---|
| JOHN P DONAHUE | OTR | 1588620389 |
| DOUGLAS SCHOBERT | OTR | 1396702775 |
| KIMBERLY FEIGHNER | OT | 1336107226 |
| MRS. BETHANY SNOW | OT | 1093815201 |
| MARGARET ANNE AMENDT | O.T.R. | 1861554487 |
| NICOLE MARIE RUSTER | O.T.R. | 1780746214 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.