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Tara Starr Phelps , MA, CCC-SLP

Speech-Language Pathologist β€’ Fort Wayne, IN

Active NPI 1043563505 Individual Practitioner Female Practitioner
Practice location in NPPES

3110 E Coliseum Blvd
Fort Wayne, IN 468051554

Call 2604086732 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3110 E Coliseum Blvd

Fort Wayne, IN 468051554

Telephone 2604086732
Fax 3174495783
Organization at the Same NPPES Address or Phone
Summit Bhc Ft Wayne Llc Facility NPI 1003635418

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2012

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Fort Wayne and Indiana

217 active clinicians are listed under Speech-Language Pathologist with a practice address in Fort Wayne, IN (2,995 in Indiana).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Fort Wayne

0% of these 217 clinicians have the CMS telehealth indicator.

4.1% of these 217 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-09-09
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES IN 22004392A

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Indiana Professional Licensing Agency.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

5 listed
Cecile Barbon-Quirante , OTR

Occupational Therapist

NPI 1376833095

Occupational Therapist Registered

Dr. Bena Lee Gates , DPT

Physical Therapist

NPI 1700287505

Doctor of Physical Therapy

Helene Highbarger , OT

Occupational Therapist

NPI 1780865584

Occupational Therapist

Charlotte Martin

Occupational Therapist

NPI 1457013922
Grace Nuesca

Physical Therapist

NPI 1326162017

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location September 09, 2022

Registered at 3110 E COLISEUM BLVD, FORT WAYNE, IN 468051554 (Tel: 2604086732)

πŸ“
Updated Business Mailing Address July 19, 2022

Registered at 422 UNION STATION DR, FORT WAYNE, IN 468148965 (Tel: 2604507630)

πŸ‘€
Provider Name / Credentials Updated July 19, 2022

Recorded as TARA PHELPS, M.A.,CCC-SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 19, 2022

Speech-Language Pathologist (license number reported to NPPES: IN 22004392A)

βœ…
NPI Profile Active October 22, 2012

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 22, 2012

Registered at 303 N HURSTBOURNE PKWY, SUITE 200, LOUISVILLE, KY 402225185 (Tel: 5024125847)

πŸ“
Business Mailing Address (Initial Record) October 22, 2012

Registered at 303 N HURSTBOURNE PKWY, SUITE 200, LOUISVILLE, KY 402225185 (Tel: 5024125847)

πŸ‘€
Provider Name / Credentials (Initial Record) October 22, 2012

Recorded as TARA BURGE, M.A.,CCC-SLP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 22, 2012

Speech-Language Pathologist (license number reported to NPPES: IN 22004392A)

🟒
Initial NPI Registration & Enumeration October 22, 2012

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1043563505
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 22, 2012
Last Update: September 09, 2022
Sole Proprietor: No

Other Speech-Language Pathologists in Fort Wayne

All Speech-Language Pathologists in Fort Wayne

Mailing Address

422 Union Station Dr

Fort Wayne, IN 468148965

Phone: 2604507630

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.